Organization
COUNTY OF SACRAMENTO
Active
Parent organization
COUNTY OF SACRAMENTO
Other names
Public Health Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SACRAMENTO
Authorized official
DR. GLENNAH TROCHET MD (SAC COUNTY PUBLIC HEALTH OFFICER)
(916) 875-5881
Entity
Organization
Contact information
Practice address
4600 BROADWAY, SUITE 2300, SACRAMENTO, CA 95820-1527
(916) 874-9231
(916) 874-9432
Mailing address
7001A EAST PKWY, SUITE 600, SACRAMENTO, CA 95823-2501
(916) 875-5881
(916) 875-5888
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0644185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0644185
CLIA
CA
01
—
1188
PH LABORATORY APPRV #
CA
05
—
LAB58561F
—
CA
Enumeration date
11/13/2006
Last updated
09/23/2008
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