36D0916966 CLIA NUMBER - ROBERT SANTIAGO MD

Laboratory Demographics

CLIA Number: 36D0916966

Facility Name: ROBERT SANTIAGO MD

Facility Address:
396 PORTLAND WAY NORTH
GALION, OH
ZIP 44833
Get Directions

Facility Phone Number: 419 462-5543

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720121213

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	36D0916966
LAB Type	Physician Office
Facility Name	ROBERT SANTIAGO MD
Street	396 PORTLAND WAY NORTH
City	GALION
State	OH
ZIP	44833
Phone	419 462-5543
CertificateType	4
CertificateEffectiveDate	10/14/2022
CertificateExpirationDate	10/13/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024