05D0726535 CLIA NUMBER - 7TH AVENUE CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D0726535
  • Facility Name: 7TH AVENUE CENTER LLC
  • Facility Address: 1171 7TH AVENUE
    SANTA CRUZ, CA
    ZIP 95062
  • Facility Phone: 831 476-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TONY CHEN MD
  • NPI Number: 1629132089
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 05D0726535
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 7TH AVENUE CENTER LLC
Street 1171 7TH AVENUE
City SANTA CRUZ
State CA
ZIP 95062
Phone 831 476-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TONY CHEN MD

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