32D2153600 CLIA NUMBER - CHRISTUS ST VINCENT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 32D2153600
  • Facility Name: CHRISTUS ST VINCENT DERMATOLOGY
  • Facility Address: 1622 GALISTEO ST SUITE 100
    SANTA FE, NM
    ZIP 87505
  • Facility Phone: 505 913-3380
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KRISTINE M. PARKE
  • NPI Number: 1982104709
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 32D2153600
LAB Type Physician Office
Facility Name CHRISTUS ST VINCENT DERMATOLOGY
Street 1622 GALISTEO ST SUITE 100
City SANTA FE
State NM
ZIP 87505
Phone 505 913-3380
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 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director DR. KRISTINE M. PARKE

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