45D0960550 CLIA NUMBER - JOSE F SANTIAGO MD FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 45D0960550

Facility Name: JOSE F SANTIAGO MD FAMILY PRACTICE

Facility Address:
2624 W WILLIAM CANNON DR
AUSTIN, TX
ZIP 78745
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Facility Phone Number: 512 443-7746

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1023121613

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	45D0960550
LAB Type	Physician Office
Facility Name	JOSE F SANTIAGO MD FAMILY PRACTICE
Street	2624 W WILLIAM CANNON DR
City	AUSTIN
State	TX
ZIP	78745
Phone	512 443-7746
CertificateType	3
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	PPMP

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