05D0901250 CLIA NUMBER - SHINGLE SPRINGS TRIBAL HEALTH PROGRAM

Laboratory Demographics

CLIA Number: 05D0901250

Facility Name: SHINGLE SPRINGS TRIBAL HEALTH PROGRAM

Facility Address:
5168 HONPIE RD SHINGLE SPRINGS TRIBAL HEALTH PROGRAM 5TH FLOOR
PLACERVILLE, CA
ZIP 95667
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Facility Phone Number: (530) 387-4975

Facility Type: OTHER

Certificate Type: Microscopy

NPI Number: 1245356674

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0901250
LAB Type	OTHER
Facility Name	SHINGLE SPRINGS TRIBAL HEALTH PROGRAM
Street	5168 HONPIE RD SHINGLE SPRINGS TRIBAL HEALTH PROGRAM 5TH FLOOR
City	PLACERVILLE
State	CA
ZIP	95667
Phone	(530) 387-4975

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This page was last updated on: 5/11/2023