40D0658189 CLIA NUMBER - PONCE CLINICAL LABORATORY INC

Laboratory Demographics

  • CLIA Code: 40D0658189
  • Facility Name: PONCE CLINICAL LABORATORY INC
  • Facility Address: 609 AVE TITO CASTRO STE 101
    PONCE, PR
    ZIP 00716
  • Facility Phone: 787 841-4846
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MRS. ENID VARGAS
  • NPI Number: 1164563243
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 40D0658189
LAB Type Independent
Facility Name PONCE CLINICAL LABORATORY INC
Street 609 AVE TITO CASTRO STE 101
City PONCE
State PR
ZIP 00716
Phone 787 841-4846
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 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Independent
Lab Director MRS. ENID VARGAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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