Organization
COUNTY OF STANISLAUS
Active
Organization
COUNTY OF STANISLAUS
Active
Other names
Stanislaus County Health Services Agency Public Health Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN LEE (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
820 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7700
(209) 558-8184
Mailing address
820 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7700
(209) 558-8184
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0668134
CLIA
CA
Enumeration date
03/09/2010
Last updated
03/09/2010
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