05D2141995 CLIA NUMBER - CALIFORNIA FORENSIC MEDICAL GROUP INC SHASTA COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 05D2141995
  • Facility Name: CALIFORNIA FORENSIC MEDICAL GROUP INC SHASTA COUNTY JAIL
  • Facility Address: 1655 WEST ST ATTN MEDICAL UNIT C/O CFMG
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 245-6127
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: RAYMOND HERR, MD
  • NPI Number: 1356895130
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2141995
LAB Type Other - JAIL
Facility Name CALIFORNIA FORENSIC MEDICAL GROUP INC SHASTA COUNTY JAIL
Street 1655 WEST ST ATTN MEDICAL UNIT C/O CFMG
City REDDING
State CA
ZIP 96001
Phone 530 245-6127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Other - JAIL
Lab Director RAYMOND HERR, MD

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This page was last updated on: 9/29/2025