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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