05D2133625 CLIA NUMBER - EAST CLIFF FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D2133625

Facility Name: EAST CLIFF FAMILY HEALTH CENTER

Facility Address:
1510 CAPITOLA ROAD
SANTA CRUZ, CA
ZIP 95062
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Facility Phone Number: 831 427-3500

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1952749541

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D2133625
LAB Type	Federally Qualified Health Center
Facility Name	EAST CLIFF FAMILY HEALTH CENTER
Street	1510 CAPITOLA ROAD
City	SANTA CRUZ
State	CA
ZIP	95062
Phone	831 427-3500
CertificateType	3
CertificateEffectiveDate	7/17/2023
CertificateExpirationDate	7/16/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024