05D0880573 CLIA NUMBER - CF WATSONVILLE WEST, LLC DBA COUNTRY VILLA WATSONVILLE WEST NURSING & REHAB CTR

Laboratory Demographics

  • CLIA Code: 05D0880573
  • Facility Name: CF WATSONVILLE WEST, LLC DBA COUNTRY VILLA WATSONVILLE WEST NURSING & REHAB CTR
  • Facility Address: 525 AUTO CENTER DRIVE
    WATSONVILLE, CA
    ZIP 95076
  • Facility Phone: 831 724-7505
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CLAYTON R. MC DANIEL MD
  • NPI Number: 1346392321
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0880573
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CF WATSONVILLE WEST, LLC DBA COUNTRY VILLA WATSONVILLE WEST NURSING & REHAB CTR
Street 525 AUTO CENTER DRIVE
City WATSONVILLE
State CA
ZIP 95076
Phone 831 724-7505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CLAYTON R. MC DANIEL MD

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