VITALANT
NPI 1548489024
Clinical Medical Laboratory in Mather, CA

Active since April 24, 2007CLIA Certified · 2 labs
10536 PETER A MCCUEN BLVD, MATHER, CA 95655(916) 456-1500(916) 366-0791 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2025, May 22, 2020, Feb 11, 2019 (3 updates tracked since 2019).

About Vitalant NPPES

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

VITALANT (NPI 1548489024) is a healthcare organization registered as a clinical medical laboratory in Mather, California and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates and lists Bhavi A Shah, Chief Legal & Risk Officer, as its authorized official.

NPPES Registry Identity

NPI1548489024
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameVITALANT
Location Address10536 PETER A MCCUEN BLVDMather, CA 95655-4128
Mailing Address10536 Peter A Mccuen BlvdMather, CA 95655-4128 · (916) 456-1500 · Fax (916) 366-0791
Fax(916) 366-0791
Organization SubpartNo
Authorized OfficialBhavi A ShahChief Legal & Risk Officer · (480) 675-5653
Enumeration DateApril 24, 2007
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1548489024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CA · 05D0615608
Definition
(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.
Also ListedBlood BankTaxonomy 331L00000X
10536 PETER A MCCUEN BLVD, Mather, CA 95655

Other Identifiers 1

MedicaidZZZ74771ZCA

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 Accreditation 05D2280907

Vitalant Mather Hla Laboratory · Mather, CA
Active · expires May 23, 2027
CLIA Number05D2280907
Laboratory TypeIndependent
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorBobbie S. Rhodes-Clark
Laboratory Phone(916) 453-3684
Laboratory LocationVitalant Mather Hla Laboratory10585 Armstrong Ave, Rm 41, Mather, CA 95655
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 05D1086025

Vitalant · Mather, CA
Active · expires Apr 5, 2027
CLIA Number05D1086025
Laboratory TypeBlood Bank
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorDr. Christopher J. Gresens
Laboratory Phone(480) 675-5434
Laboratory LocationVitalant10585 Armstrong Ave, Mather, CA 95655
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

Pathology (Blood Banking & Transfusion Medicine)
10536 PETER A MCCUEN BLVD
MATHER, CA 95655
Clinical Medical Laboratory
10536 PETER A MCCUEN BLVD
MATHER, CA 95655
Pathology (Anatomic Pathology & Clinical Pathology)
10536 PETER A MCCUEN BLVD
MATHER, CA 95655

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 Vitalant's NPI number?

The NPI number for Vitalant is 1548489024. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Vitalant located?

Vitalant is located at 10536 Peter A Mccuen Blvd, Mather, CA 95655. The listed phone number is (916) 456-1500.

What is Vitalant's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Vitalant hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vitalant was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.