40D0690924 CLIA NUMBER - LABORATORIO CLINICO DE INMUNOLOGIA MAYAGUEZ

Laboratory Demographics

  • CLIA Code: 40D0690924
  • Facility Name: LABORATORIO CLINICO DE INMUNOLOGIA MAYAGUEZ
  • Facility Address: AVE HOSTOS NUM 351, COND MEDICAL EMPORIUM I UNIDAD
    MAYAGUEZ, PR
    ZIP 00680
  • Facility Phone: 787 765-2929
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: BRENDA GONZALEZ
  • NPI Number: 1023095791
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 40D0690924
LAB Type Public Health Laboratories
Facility Name LABORATORIO CLINICO DE INMUNOLOGIA MAYAGUEZ
Street AVE HOSTOS NUM 351, COND MEDICAL EMPORIUM I UNIDAD
City MAYAGUEZ
State PR
ZIP 00680
Phone 787 765-2929
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 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Public Health Laboratories
Lab Director BRENDA GONZALEZ

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