EL DORADO COUNTY PUBLIC HEALTH LABORATORY
NPI 1639215767
Clinical Medical Laboratory in Placerville, CA

Active since January 29, 2007CLIA 05D0666562 · Waiver
931 SPRING ST, PLACERVILLE, CA 95667(530) 621-6115(530) 642-8531 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About El Dorado County Public Health Laboratory NPPES

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

EL DORADO COUNTY PUBLIC HEALTH LABORATORY (NPI 1639215767) is a healthcare organization registered as a clinical medical laboratory in Placerville, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Michael Deatherage, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1639215767
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEL DORADO COUNTY PUBLIC HEALTH LABORATORY
Location Address931 SPRING STPlacerville, CA 95667-4543
Mailing Address931 Spring StPlacerville, CA 95667-4543 · (530) 621-6115 · Fax (530) 642-8531
Fax(530) 642-8531
Organization SubpartNo
Authorized OfficialMichael DeatherageLaboratory Director · (530) 621-6115
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1639215767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
931 SPRING ST, Placerville, CA 95667

Other Identifiers 1

MedicaidLAB58853FCA

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 05D0666562

El Dorado County Public Health Dept · Placerville, CA
Active · expires Jun 16, 2028
CLIA Number05D0666562
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorMatthew A. Minson
Laboratory Phone(530) 621-6115
Laboratory LocationEl Dorado County Public Health Dept931 Spring St, Placerville, CA 95667
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Licensed Vocational Nurse
931 SPRING ST
PLACERVILLE, CA 95667
Nurse's Aide
931 SPRING ST
PLACERVILLE, CA 95667
Licensed Vocational Nurse
931 SPRING ST
PLACERVILLE, CA 95667
Clinic/Center (Public Health, State or Local)
931 SPRING ST
PLACERVILLE, CA 95667
Clinical Nurse Specialist (Community Health/Public Health)
931 SPRING ST
PLACERVILLE, CA 95667
Nurse's Aide
931 SPRING ST
PLACERVILLE, CA 95667
Preventive Medicine (Public Health & General Preventive Medicine)
931 SPRING ST
PLACERVILLE, CA 95667

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 El Dorado County Public Health Laboratory's NPI number?

The NPI number for El Dorado County Public Health Laboratory is 1639215767. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is El Dorado County Public Health Laboratory located?

El Dorado County Public Health Laboratory is located at 931 Spring St, Placerville, CA 95667. The listed phone number is (530) 621-6115.

What is El Dorado County Public Health Laboratory's specialty?

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

Does El Dorado County Public Health Laboratory hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0666562) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for El Dorado County Public Health Laboratory was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.