Organization
COUNTY OF HUMBOLDT
Active
Other names
Dept of Health & Human Services Public Health Branch Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BUCKLEY (PUBLIC HEALTH BRANCH DIRECTOR)
(707) 268-2121
Entity
Organization
Contact information
Practice address
529 I STREET, EUREKA, CA 95501-1116
(707) 445-6200
(707) 445-6097
Mailing address
529 I STREET, EUREKA, CA 95501-1116
(707) 445-6200
(707) 445-6097
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0666113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB58595F
—
CA
Enumeration date
11/01/2006
Last updated
01/05/2010
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