Organization
COUNTY OF SAN LUIS OBISPO
Active
Organization
COUNTY OF SAN LUIS OBISPO
Active
Parent organization
COUNTY OF SAN LUIS OBISPO
Other names
Public Health Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SAN LUIS OBISPO
Authorized official
DR. GLEN M MILLER PHD (LABORATORY DIRECTOR)
(805) 781-5512
Entity
Organization
Contact information
Practice address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 781-5507
(805) 781-1023
Mailing address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 781-5507
(805) 781-1023
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
01260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB01260F
—
CA
Enumeration date
05/20/2006
Last updated
07/13/2023
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