Organization
GENETIC DISEASE SCREENING PROGRAM, STATE OF CA
Active
Organization
GENETIC DISEASE SCREENING PROGRAM, STATE OF CA
Active
Parent organization
STATE OF CALIFORNIA
Other names
State of California, CDPH, GDSP
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF CALIFORNIA
Authorized official
DR. RAJESH SHARMA PHD, FACMG (CHIEF LABORATORY SERVICES BRANCH)
(510) 231-1704
Entity
Organization
Contact information
Practice address
850 MARINA BAY PKWY # G-272, RICHMOND, CA 94804-6403
(510) 412-1502
(510) 412-1558
Mailing address
850 MARINA BAY PKWY, RICHMOND, CA 94804-6403
(866) 718-7915
(510) 412-1558
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0862216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0862216
CLIA
—
Enumeration date
01/08/2007
Last updated
02/02/2024
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