COUNTY OF LAKE PUBLIC HEALTH DEPARTMENT
NPI 1396807459
Public Health or Welfare in Clearlake, CA

Active since December 15, 2006CLIA 05D0708725 · Waiver
7000 B SOUTH CIVIC CENTER DR, CLEARLAKE, CA 95422(707) 994-9433(707) 994-6739 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About County Of Lake Public Health Department NPPES

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

COUNTY OF LAKE PUBLIC HEALTH DEPARTMENT (NPI 1396807459) is a healthcare organization registered as a public health or welfare in Clearlake, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Craig M Mcmillan, Health Officer, as its authorized official.

NPPES Registry Identity

NPI1396807459
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCOUNTY OF LAKE PUBLIC HEALTH DEPARTMENT
Location Address7000 B SOUTH CIVIC CENTER DRClearlake, CA 95422
Mailing Address922 Bevins CtLakeport, CA 95453-9754 · (707) 263-1090 · Fax (707) 262-4280
Fax(707) 994-6739
Organization SubpartNo
Authorized OfficialCraig M McmillanHealth Officer · (707) 263-1090
Enumeration DateDecember 15, 2006
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1396807459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
7000 B SOUTH CIVIC CENTER DR, Clearlake, CA 95422

Other Identifiers 1

MedicaidEXE70121FCA

CLIA Laboratory Certificates CMS CLIA

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 Waiver 05D0708725

County Of Lake Public Health · Lakeport, CA
Active · expires Aug 31, 2026
CLIA Number05D0708725
Laboratory TypePublic Health Laboratories
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorErik Mclaughlin
Laboratory Phone(707) 263-1090
Laboratory LocationCounty Of Lake Public Health922 Bevins Ct, Lakeport, CA 95453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
7000 B SOUTH CIVIC CENTER DR
CLEARLAKE, CA 95422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Lake Public Health Department's NPI number?

The NPI number for County Of Lake Public Health Department is 1396807459. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is County Of Lake Public Health Department located?

County Of Lake Public Health Department is located at 7000 B South Civic Center Dr, Clearlake, CA 95422. The listed phone number is (707) 994-9433.

What is County Of Lake Public Health Department's specialty?

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

Does County Of Lake Public Health Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0708725) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Lake Public Health Department was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.