05D0720912 CLIA NUMBER - PACIFIC HILLS MANOR

Laboratory Demographics

  • CLIA Code: 05D0720912
  • Facility Name: PACIFIC HILLS MANOR
  • Facility Address: 370 NOBLE COURT
    MORGAN HILL, CA
    ZIP 95037
  • Facility Phone: 408 779-7346
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. SKAGGS
  • NPI Number: 1124154422
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0720912
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PACIFIC HILLS MANOR
Street 370 NOBLE COURT
City MORGAN HILL
State CA
ZIP 95037
Phone 408 779-7346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL L. SKAGGS

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