Organization
PLACER COUNTY PUBLIC HEALTH LABORATORY
Active
Organization
PLACER COUNTY PUBLIC HEALTH LABORATORY
Active
Parent organization
COUNTY OF PLACER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF PLACER
Authorized official
DR. ROBERT L OLDHAM MD, MHA (HEALTH OFFICER)
(530) 889-7205
Entity
Organization
Contact information
Practice address
11475 C AVE, AUBURN, CA 95603-2701
(530) 889-7205
(530) 889-7209
Mailing address
11475 C AVE, AUBURN, CA 95603-2701
(530) 889-7205
(530) 889-7209
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAB58851F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/03/2007
Last updated
03/11/2014
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