05D1048270 CLIA NUMBER - KRISTIN J SANTANGELO, MD A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1048270
  • Facility Name: KRISTIN J SANTANGELO, MD A PROFESSIONAL CORPORATION
  • Facility Address: 415 ROLLING OAKS DRIVE #260
    THOUSAND OAKS, CA
    ZIP 91361
  • Facility Phone: 805 371-3770
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KRISTIN J. SANTANGELO
  • NPI Number: 1629015474
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D1048270
LAB Type Physician Office
Facility Name KRISTIN J SANTANGELO, MD A PROFESSIONAL CORPORATION
Street 415 ROLLING OAKS DRIVE #260
City THOUSAND OAKS
State CA
ZIP 91361
Phone 805 371-3770
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director KRISTIN J. SANTANGELO

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