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GENETIC DISEASE SCREENING PROGRAM STATE OF CA NPI 1588712020


NPI Information

NPI: 1588712020
Provider Name: GENETIC DISEASE SCREENING PROGRAM, STATE OF CA

Other Name: STATE OF CALIFORNIA, CDPH, GDSP

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 05D0862216

Address:
850 MARINA BAY PKWY # G-272
RICHMOND, CA
ZIP 94804
Phone: (510) 412-1502
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GENETIC DISEASE SCREENING PROGRAM, STATE OF CA is a clinical medical laboratory in Richmond, CA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. GENETIC DISEASE SCREENING PROGRAM, STATE OF CA NPI is 1588712020. The provider is registered as an organization entity type.
The provider Other Name Is State Of California, Cdph, Gdsp.

The provider's business location address is:

850 MARINA BAY PKWY # G-272
RICHMOND, CA
ZIP 94804-403
Phone: (510) 412-1502
Fax: (510) 412-1558

The provider's authorized official is Rajesh Sharma .
The authorized official title is Chief Laboratory Services Branch and has the following contact phone number (510) 231-1704.

The CLIA number assigned to this NPI record is 05D0862216 - public health laboratories with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 2/2/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory05D0862216CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105D0862216OTHERCLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.