40D0658267 CLIA NUMBER - BANCO DE SANGRE DE SERVICIOS MUTUOS

Laboratory Demographics

CLIA Number: 40D0658267

Facility Name: BANCO DE SANGRE DE SERVICIOS MUTUOS

Facility Address:
662 AVE PONCE DE LEON PDA 37
SAN JUAN, PR
ZIP 00918
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Facility Phone Number: 809 251-6161

Facility Type: Blood Bank

Certificate Type: Accreditation

NPI Number: 1295728673

Taxonomy: 331L00000X - Blood Bank
An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	40D0658267
LAB Type	Blood Bank
Facility Name	BANCO DE SANGRE DE SERVICIOS MUTUOS
Street	662 AVE PONCE DE LEON PDA 37
City	SAN JUAN
State	PR
ZIP	00918
Phone	809 251-6161
CertificateType	1
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024