SAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER
NPI 1215070636
Public Health or Welfare in Stockton, CA

Q: What is San Joaquin County Public Health Waiver's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Active since February 15, 2007CLIA Certified · 2 labs

1601 E HAZELTON AVE, STOCKTON, CA 95205(209) 468-3413(209) 468-3072 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About San Joaquin County Public Health Waiver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER (NPI 1215070636) is a healthcare organization registered as a public health or welfare in Stockton, California and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists William Mitchell, Director Public Health Services, as its authorized official.

NPPES Registry Identity

NPI1215070636

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NameSAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER

Location Address1601 E HAZELTON AVEStockton, CA 95205-6229

Mailing AddressPo Box 2009Stockton, CA 95201-2009 · (209) 468-3413 · Fax (209) 468-3072

Phone(209) 468-3413

Fax(209) 468-3072

Organization SubpartNo

Authorized OfficialWilliam MitchellDirector Public Health Services · (209) 468-3413

Enumeration DateFebruary 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1215070636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

1601 E HAZELTON AVE, Stockton, CA 95205

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0643989

San Joaquin County Public Health Lab · Stockton, CA

Active · expires Feb 21, 2027

CLIA Number05D0643989

Laboratory TypePublic Health Laboratories

Certificate Effective DateFebruary 22, 2025

Certificate Expiration DateFebruary 21, 2027

Laboratory DirectorHarmeet Kaur

Laboratory Phone(209) 468-3460

Laboratory LocationSan Joaquin County Public Health Lab1601 E Hazelton Ave, Stockton, CA 95205

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 05D0688207

San Joaquin County Public Health Serv Oa C&t Program · Stockton, CA

Active · expires Aug 31, 2026

CLIA Number05D0688207

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorMaggie S. Park

Laboratory Phone(209) 468-3411

Laboratory LocationSan Joaquin County Public Health Serv Oa C&t Program1601 E Hazelton Avenue, Stockton, CA 95205

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUBLIC HEALTH LAB, SAN JOAQUIN CO PUB HLTH SVS

Clinical Medical Laboratory