32D2009192 CLIA NUMBER - CAROLINE KINGSTON MD MPH FAMILY MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 32D2009192
  • Facility Name: CAROLINE KINGSTON MD MPH FAMILY MEDICINE LLC
  • Facility Address: 460 ST MICHAELS DRIVE #1104
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 820-2562
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: DR. CAROLINE KINGSTON
  • NPI Number: 1750489811
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 32D2009192
LAB Type Practitioner Other
Facility Name CAROLINE KINGSTON MD MPH FAMILY MEDICINE LLC
Street 460 ST MICHAELS DRIVE #1104
City SANTA FE
State NM
ZIP 87505
Phone 505 820-2562
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 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Practitioner Other
Lab Director DR. CAROLINE KINGSTON

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