05D2105564 CLIA NUMBER - SANTA CRUZ COUNTY WATSONVILLE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2105564
  • Facility Name: SANTA CRUZ COUNTY WATSONVILLE HEALTH CENTER
  • Facility Address: 1430 FREEDOM BLVD
    WATSONVILLE, CA
    ZIP 95076
  • Facility Phone: 831 454-5401
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: AMY MCENTEE
  • NPI Number: 1932309770
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2105564
LAB Type Federally Qualified Health Center
Facility Name SANTA CRUZ COUNTY WATSONVILLE HEALTH CENTER
Street 1430 FREEDOM BLVD
City WATSONVILLE
State CA
ZIP 95076
Phone 831 454-5401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Federally Qualified Health Center
Lab Director AMY MCENTEE

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