CRUZMEDMO
NPI 1396416152
Clinical Medical Laboratory in Santa Cruz, CA

Active since September 22, 2021CLIA 05D2197443 · Waiver
325 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 239-4331 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cruzmedmo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRUZMEDMO (NPI 1396416152) is a healthcare organization registered as a clinical medical laboratory in Santa Cruz, California and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Andrew Hamilton Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1396416152
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCRUZMEDMO
Location Address325 SOQUEL AVESanta Cruz, CA 95062-2305
Mailing Address211 Ladera CtSanta Cruz, CA 95060-5209 · (831) 239-4331
Organization SubpartNo
Authorized OfficialAndrew Hamilton LewisPresident · (831) 239-4331
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
NPI 1396416152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

325 SOQUEL AVE, Santa Cruz, CA 95062

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2197443

Cruzmedmo · Santa Cruz, CA
Active · expires Oct 24, 2026
CLIA Number05D2197443
Laboratory TypePractitioner Other
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAndrew H. Lewis
Laboratory Phone(831) 239-4331
Laboratory LocationCruzmedmo626 Frederick St, Ste H, Santa Cruz, CA 95062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Emergency Medicine
325 SOQUEL AVE
SANTA CRUZ, CA 95062
Social Worker (Clinical)
325 SOQUEL AVE
SANTA CRUZ, CA 95062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396416152, enumerated as an "organization" on September 22, 2021.

The provider is located at 325 SOQUEL AVE SANTA CRUZ, CA 95062 and the phone number is (831) 239-4331.

Clinical Medical Laboratory with taxonomy code 291U00000X.