05D2296397 CLIA NUMBER - AGILE OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2296397
  • Facility Name: AGILE OCCUPATIONAL MEDICINE
  • Facility Address: 1710 CHUM CREEK ROAD
    REDDING, CA
    ZIP 96002
  • Facility Phone: 760 828-5681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVE FRIEND
  • NPI Number: 1699490581
  • Taxonomy: 261QX0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2296397
LAB Type Physician Office
Facility Name AGILE OCCUPATIONAL MEDICINE
Street 1710 CHUM CREEK ROAD
City REDDING
State CA
ZIP 96002
Phone 760 828-5681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Physician Office
Lab Director STEVE FRIEND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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