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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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