39D0948939 CLIA NUMBER - VICTOR H SANTILLAN MD

Laboratory Demographics

CLIA Number: 39D0948939

Facility Name: VICTOR H SANTILLAN MD

Facility Address:
200 HOSPITAL DRIVE, SUITE 1
TYRONE, PA
ZIP 16686
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Facility Phone Number: 814 684-5399

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710952932

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	7/22/2022
CertificateExpirationDate	7/21/2024
FacilityType	Waiver

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