Table # Values
licensed_facility_listing_01 1 oshpd_id: 306170808
perm_id:
facility_name: LAKE COUNTY TRIBAL HEALTH SOUTHSHORE CLINIC
license_num: 550008263
facility_level_desc: Community Clinic
dba_address1: 14440 OLYMPIC DR
dba_city: CLEARLAKE
dba_zip_code: 95422
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2023-12-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.96196030
longitude: -122.64082280

licensed_facility_listing_10 1 oshpd_id: 306170808
facility_name: LAKE COUNTY TRIBAL HEALTH SOUTHSHORE CLINIC
license_num: 550008263
facility_level_desc: Parent Facility
dba_address1: 14440 OLYMPIC DR
dba_city: CLEARLAKE
dba_zip_code: 95422
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2023-12-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.96196030
longitude: -122.64082280

licensed_facility_listing_18 1 oshpd_id: 306170808
facility_name: LAKE COUNTY TRIBAL HEALTH SOUTHSHORE CLINIC
license_num: 550008263
facility_level_desc: Parent Facility
dba_address1: 14440 OLYMPIC DR
dba_city: CLEARLAKE
dba_zip_code: 95422
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2023-12-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 1 period: current
oshpd_id: 306170808
facility_name: LAKE COUNTY TRIBAL HEALTH SOUTHSHORE CLINIC
license_num: 550008263
facility_level_desc: Parent Facility
dba_address1: 14440 OLYMPIC DR
dba_city: CLEARLAKE
dba_zip_code: 95422
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-12-16
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.96196030
longitude: -122.64082280