05D0945008 CLIA NUMBER - CABRILLO COLLEGE STUDENT HEALTH SERVIC 912

Laboratory Demographics

  • CLIA Code: 05D0945008
  • Facility Name: CABRILLO COLLEGE STUDENT HEALTH SERVIC 912
  • Facility Address: 6500 SOQUEL DRIVE
    APTOS, CA
    ZIP 95003
  • Facility Phone: 408 479-6435
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MARTHA L. ORR
  • NPI Number: 1962607333
  • Taxonomy: 124Q00000X - Dental Hygienist

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CLIA Record

Field Name Field Value
CLIA Number 05D0945008
LAB Type School/Student Health Service
Facility Name CABRILLO COLLEGE STUDENT HEALTH SERVIC 912
Street 6500 SOQUEL DRIVE
City APTOS
State CA
ZIP 95003
Phone 408 479-6435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type School/Student Health Service
Lab Director MARTHA L. ORR

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