05D2142911 CLIA NUMBER - MAXIMILIAN MALOTKY, MD INC

Laboratory Demographics

  • CLIA Code: 05D2142911
  • Facility Name: MAXIMILIAN MALOTKY, MD INC
  • Facility Address: 1800 BUENA VENTURA BLVD STE 200
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 638-8868
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAXIMILIAN MALOTKY, MD
  • NPI Number: 1841582202
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2142911
LAB Type Physician Office
Facility Name MAXIMILIAN MALOTKY, MD INC
Street 1800 BUENA VENTURA BLVD STE 200
City REDDING
State CA
ZIP 96001
Phone 530 638-8868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director MAXIMILIAN MALOTKY, MD

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