36D0916966 CLIA NUMBER - ROBERT SANTIAGO MD

Laboratory Demographics

  • CLIA Code: 36D0916966
  • Facility Name: ROBERT SANTIAGO MD
  • Facility Address: 396 PORTLAND WAY NORTH
    GALION, OH
    ZIP 44833
  • Facility Phone: 419 462-5543
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT SANTIAGO MD
  • NPI Number: 1720121213
  • Taxonomy: 208D00000X - General Practice

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director ROBERT SANTIAGO MD

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