05D2091635 CLIA NUMBER - TELECARE EL DORADO PSYCHIATRIC HEALTH FACILIY

Laboratory Demographics

  • CLIA Code: 05D2091635
  • Facility Name: TELECARE EL DORADO PSYCHIATRIC HEALTH FACILIY
  • Facility Address: 935 B SPRING ST
    PLACERVILLE, CA
    ZIP 95667
  • Facility Phone: 530 748-4709
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: LAURA E. KENKEL
  • NPI Number: 1588068589
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2091635
LAB Type Hospital
Facility Name TELECARE EL DORADO PSYCHIATRIC HEALTH FACILIY
Street 935 B SPRING ST
City PLACERVILLE
State CA
ZIP 95667
Phone 530 748-4709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Hospital
Lab Director LAURA E. KENKEL

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