40D0658283 CLIA NUMBER - AUXILIO MUTUO HOSPITAL CLINICAL LAB

Laboratory Demographics

  • CLIA Code: 40D0658283
  • Facility Name: AUXILIO MUTUO HOSPITAL CLINICAL LAB
  • Facility Address: AVE PONCE DE LEON PDA 37
    HATO REY, PR
    ZIP 00919
  • Facility Phone: (787) 758-2000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. PHILLIP RUIZ
  • NPI Number: 1548412828
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 40D0658283
LAB Type Ambulatory Surgery Center
Facility Name AUXILIO MUTUO HOSPITAL CLINICAL LAB
Street AVE PONCE DE LEON PDA 37
City HATO REY
State PR
ZIP 00919
Phone 7877582000
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. PHILLIP RUIZ

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This page was last updated on: 6/29/2026