05D2317293 CLIA NUMBER - REDDING REHAB LLC

Laboratory Demographics

  • CLIA Code: 05D2317293
  • Facility Name: REDDING REHAB LLC
  • Facility Address: 3580 SANTA ROSA WAY
    REDDING, CA
    ZIP 96003
  • Facility Phone: 310 343-8684
  • Facility Type: Other - IOP
  • Facility Type: Waiver
  • Lab Director: JISEUNG YOON
  • NPI Number: 1003527037
  • Taxonomy: 106H00000X - Marriage & Family Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D2317293
LAB Type Other - IOP
Facility Name REDDING REHAB LLC
Street 3580 SANTA ROSA WAY
City REDDING
State CA
ZIP 96003
Phone 310 343-8684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Other - IOP
Lab Director JISEUNG YOON

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