40D0658172 CLIA NUMBER - SOUTHERN PATHOLOGY SERVICES INC

Laboratory Demographics

  • CLIA Code: 40D0658172
  • Facility Name: SOUTHERN PATHOLOGY SERVICES INC
  • Facility Address: 234 CALLE A PARQUE INDUSTRIAL SABANETAS
    PONCE, PR
    ZIP 00732
  • Facility Phone: 787 841-8640
  • Facility Type: Other
  • Facility Type: Accreditation
  • Lab Director: DR. PABLO O. ACOSTA GARAYUA
  • NPI Number: 1134119233
  • Taxonomy: 207ZP0101X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 40D0658172
LAB Type Other
Facility Name SOUTHERN PATHOLOGY SERVICES INC
Street 234 CALLE A PARQUE INDUSTRIAL SABANETAS
City PONCE
State PR
ZIP 00732
Phone 787 841-8640
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Other
Lab Director DR. PABLO O. ACOSTA GARAYUA

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