49D0709523 CLIA NUMBER - MICHAEL E SANTULLI

Laboratory Demographics

  • CLIA Code: 49D0709523
  • Facility Name: MICHAEL E SANTULLI
  • Facility Address: 1405 ROLKIN COURT - SUITE 201
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: 434 295-5155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. SANTULLI
  • NPI Number: 1811077274
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0709523
LAB Type Physician Office
Facility Name MICHAEL E SANTULLI
Street 1405 ROLKIN COURT - SUITE 201
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 434 295-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL E. SANTULLI

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