Organization
ALAMEDA COUNTY PUBLIC HEALTH LABORATORY
Active
Parent organization
COUNTY OF ALAMEDA DEPT. OF PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF ALAMEDA DEPT. OF PUBLIC HEALTH
Authorized official
DR. MARK WILLIAM PANDORI PHD (DIRECTOR, LABORATORY SERVICES)
(510) 382-4300
Entity
Organization
Contact information
Practice address
2901 PERALTA OAKS CT, ROOM 206, OAKLAND, CA 94605-5319
(510) 382-4300
(510) 382-4333
Mailing address
2901 PERALTA OAKS CT, ROOM 206, OAKLAND, CA 94605-5319
(510) 382-4300
(510) 382-4333
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
05D0601931
CA
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2090025
CLIA ID NUMBER
CA
Enumeration date
05/03/2007
Last updated
10/27/2016
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