Organization
SHASTA COUNTY PUBLIC HEALTH LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNELL EWERT (DIRECTOR OF PUBLIC HEALTH)
(530) 245-6296
Entity
Organization
Contact information
Practice address
2650 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5072
(530) 225-5061
Mailing address
2650 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5072
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB58363F
—
CA
Enumeration date
02/22/2007
Last updated
01/02/2008
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