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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