05D2277148 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2277148
  • Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION
  • Facility Address: 2510 AIRPARK DR, STE 104
    REDDING, CA
    ZIP 96001
  • Facility Phone: 916 379-2861
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYLENE PERALTA
  • NPI Number: 1477671535
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2277148
LAB Type Physician Office
Facility Name DIGNITY HEALTH MEDICAL FOUNDATION
Street 2510 AIRPARK DR, STE 104
City REDDING
State CA
ZIP 96001
Phone 916 379-2861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director MAYLENE PERALTA

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