05D2078275 CLIA NUMBER - TELECARE STANISLAUS COUNTY PSYCHIATRIC HEALTH FACILTY

Laboratory Demographics

  • CLIA Code: 05D2078275
  • Facility Name: TELECARE STANISLAUS COUNTY PSYCHIATRIC HEALTH FACILTY
  • Facility Address: 1904 RICHLAND AVE, STE A
    CERES, CA
    ZIP 95307
  • Facility Phone: 209 300-8800
  • Facility Type: Other - PHF/PSYCHIATRIC HOSP
  • Facility Type: Waiver
  • Lab Director: WALTER LAMPA
  • NPI Number: 1447647656
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 05D2078275
LAB Type Other - PHF/PSYCHIATRIC HOSP
Facility Name TELECARE STANISLAUS COUNTY PSYCHIATRIC HEALTH FACILTY
Street 1904 RICHLAND AVE, STE A
City CERES
State CA
ZIP 95307
Phone 209 300-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Other - PHF/PSYCHIATRIC HOSP
Lab Director WALTER LAMPA

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This page was last updated on: 9/29/2025