Santa Fe Laboratory
2000 Vivigen Way
Santa Fe, NM 87505
T 505 438 1111
F 505 438 1120
Toll Free: 800 848 4436
NPI # 1386604320
Taxonomy Code: 291UOOOOOX

Licenses, Accreditations, Certifications and Inspections (pdf format)	License/Permit #	Expires
Federal Registration/Certification
CLIA / Department of Health and Human Services	32D0653253	2/27/09
Licenses
State of California	COS 800006	2/28/09
State of New York	3349 32D0653253	6/30/09
State of Maryland	614	6/30/09
Commonwealth of Pennsylvania	024570	8/15/09
State of Florida	800006695	9/30/09
State of Rhode Island	LCO00249	12/30/09
Accreditations
The College of American Pathologists (CAP)	2239301	7/16/10
Medicare Certification	061047163

*Some documents may show expiration dates that are not current. This is usually due to delays by the federal, state or private agency responsible for the inspection, application review and issuance of these licenses or certificates. All licenses or certificates remain current while inspections, license renewal applications, and/or other review processes are taking place toward the issuance of a new license. Please call 505 438 2154 if you have licensure or certificate questions.