39D0948939 CLIA NUMBER - VICTOR H SANTILLAN MD

Laboratory Demographics

  • CLIA Code: 39D0948939
  • Facility Name: VICTOR H SANTILLAN MD
  • Facility Address: 200 HOSPITAL DRIVE, SUITE 1
    TYRONE, PA
    ZIP 16686
  • Facility Phone: 814 684-5399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR H. SANTILLAN MD
  • NPI Number: 1710952932
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0948939
LAB Type Physician Office
Facility Name VICTOR H SANTILLAN MD
Street 200 HOSPITAL DRIVE, SUITE 1
City TYRONE
State PA
ZIP 16686
Phone 814 684-5399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director VICTOR H. SANTILLAN MD

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