Needle Exchange Program

Hours and Locations

Day Time* Location
Monday 1:30PM - 3:30PM      Knox Avenue:  
Story Road and Knox Avenue (one block west from King Road) in San Jose                                  
Tuesday 1:00PM - 3:00PM      2nd St and 280: 
Under the 280 overpass in San Jose (between S 1st and 2nd St)
  5:00PM – 7:00PM                                              Crane Center: 
976 Lenzen Avenue, Ste 1800, San Jose (parking lot on the southwest side of the building) 

9:00AM – 5:00PM
Drop-In Location      

Crane Center: 
976 Lenzen Avenue, Ste 1800, San Jose (parking lot on the southwest side of the building)
Friday 9:30AM - 11:30PM                                                    Valley Health Center: 
7475 Camino Arroyo, Gilroy
  2:00PM - 4:00PM                         Little Orchard: 
Little Orchard St. in San Jose (midway between Curtner and San Jose Avenue)                                                                            
*Please arrive at least 30 minutes before closing if you are interested in a HIV or Hepatitis C rapid test. 

No Syringe Access & Disposal Services: Thursday, Saturday, Sunday and County holidays.


New Medication Assisted Treatment (MAT) Service available at NEX Program locations

In response to the opioid crisis, the County of Santa Clara Public Health Department is  offering Medication Assisted Treatment (MAT) to our Needle Exchange Program participants. The MAT program will make it easier to obtain Opioid Use Disorder (OUD) treatment, including MAT, behavioral health interventions, linkages and referrals, and other OUD support services.  For more information and services contact the MAT Navigation staff at 510-473-7504 or 408-963-9452.

This pilot project is titled Bay Area Medication Assisted Treatment (BAMAT) and Peer Support Program in partnership with Bay Area Community Health and funded by the Sierra Health Foundation.

Our Services/Referrals

Additional Health Resources

Valley Homeless Clinic at Alexian
Drop-in psychiatric and health care clinic for unhoused individuals, call for hours and location.
(408) 272-6050 

Homefirst Shelter Clinic 
Drop-in health care clinic for unhoused individuals, call for hours and location.
(408) 510-7543

Mobile Medical Unit
Drop-in health care clinic for unhoused individuals, call for location near you.
(408) 690-6180

Mobile Dental Unit
Routine and emergency dental care, call for a location near you.
(408) 568-9446

Naloxone Finder
Locate where you can get Naloxone for free.

Never Use Alone CA Hotline
Call 1-800-469-4470

Call 2-1-1 for 24/7 information on housing, food distribution and other assistance programs.  

For Our Community Partners

About the County of Santa Clara Drug User Health Advisory Committee (DUHAC)

DUHAC is a collaborative advisory board comprised of drug users and others who are concerned with drug user health in the county.  The mission of the DUHAC is to empower drug users and other community stakeholders to guide and oversee harm reduction services by providing a formal mechanism for stakeholders to provide recommendations, guidance and feedback on agency policies regarding, treatment of and service provision to drug users and proximate community members. In addition, DUHAC members may also choose to participate in “upstream activities” and advocacy with regard to policies that impact harm reduction services and drug user related health at the local and/or state levels.

In order to achieve this mission DUHAC members commonly embrace the values of the Principles of Harm Reduction including:

  •  Compassion
  • Non-judgment
  • Science and evidence
  • Cultural humility and competency
  • Equity 
  • Service
  • Recognition of autonomy
  • Empowerment
  • Shared responsibility

Interested in joining DUHAC or have questions?  Please contact [email protected]

About the Santa Clara County Opioid Overdose Prevention Project (SCCOOPP)

SCCOOPP is a coalition of health care professionals and other volunteers from a variety of backgrounds whose aim is to promote opioid safety throughout our county for all residents. Our coalition is part of a larger network of opioid safety coalitions throughout the state, called the California Opioid Prevention Network.  Interested in joining or have questions?  Contact us at [email protected].

Let’s Stay Connected

Contact Needle Exchange staff at (408) 792-5529  Monday to Friday (except Tuesday) from 8:00 AM -5:00 PM, and Tuesday 8:00 AM -7:00 PM, or at [email protected].

The NEX Program has been approved by the Santa Clara Board of Supervisors, as permitted by HS code 11364.7

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