05D0587042 CLIA NUMBER - DEPARTMENT OF STATE HOSPITALS

Laboratory Demographics

CLIA Number: 05D0587042

Facility Name: DEPARTMENT OF STATE HOSPITALS

Facility Address:
10333 EL CAMINO REAL
ATASCADERO, CA
ZIP 93422
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Facility Phone Number: (805) 468-2279

Facility Type: HOSPITAL

Certificate Type: Waiver

NPI Number: 1174573802

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name Field Value
CLIA Number 05D0587042
LAB Type HOSPITAL
Facility Name DEPARTMENT OF STATE HOSPITALS
Street 10333 EL CAMINO REAL
City ATASCADERO
State CA
ZIP 93422
Phone (805) 468-2279

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This page was last updated on: 1/7/2022