40D0658180 CLIA NUMBER - MED CENTRO, INC

Laboratory Demographics

  • CLIA Code: 40D0658180
  • Facility Name: MED CENTRO, INC
  • Facility Address: 1034 HOSTOS AVENUE
    PONCE, PR
    ZIP 00716
  • Facility Phone: 787 843-9393
  • Facility Type: Other
  • Facility Type: Certificate of Compliance
  • Lab Director: SAMUEL RIVERA
  • NPI Number: 1811438385
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D0658180
LAB Type Other
Facility Name MED CENTRO, INC
Street 1034 HOSTOS AVENUE
City PONCE
State PR
ZIP 00716
Phone 787 843-9393
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Other
Lab Director SAMUEL RIVERA

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