05D0606752 CLIA NUMBER - PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH, AND EDUCATION

Laboratory Demographics

  • CLIA Code: 05D0606752
  • Facility Name: PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH, AND EDUCATION
  • Facility Address: 2025 SOQUEL AVE
    SANTA CRUZ, CA
    ZIP 95062
  • Facility Phone: 831 462-7180
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JON L. KELLER, MD
  • NPI Number: 1154050029
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0606752
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH, AND EDUCATION
Street 2025 SOQUEL AVE
City SANTA CRUZ
State CA
ZIP 95062
Phone 831 462-7180
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JON L. KELLER, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025