Organization
COUNTY OF SANTA CLARA
Active
Organization
COUNTY OF SANTA CLARA
Active
Other names
Santa Clara County Public Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A DADONE (LABORATORY DIRECTOR)
(408) 885-4272
Entity
Organization
Contact information
Practice address
2220 MOORPARK AVE FL 2, SAN JOSE, CA 95128-2613
(408) 885-4272
(408) 885-4275
Mailing address
2220 MOORPARK AVE FL 2, SAN JOSE, CA 95128-2613
(408) 885-4272
(408) 885-4275
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CPH1281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPH1281
STATE LICENSE NUMBER
CA
01
—
ZZZ59166Z
MEDI-CAL NUMBER
CA
Enumeration date
09/20/2006
Last updated
08/22/2020
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