40D0865717 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF ARECIBO

Laboratory Demographics

CLIA Number: 40D0865717

Facility Name: BIO-MEDICAL APPLICATIONS OF ARECIBO

Facility Address:
MIRAMAR AVE #1072 ROAD #2
ARECIBO, PR
ZIP 00612
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Facility Phone Number: 809 878-5956

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1902904923

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	40D0865717
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF ARECIBO
Street	MIRAMAR AVE #1072 ROAD #2
City	ARECIBO
State	PR
ZIP	00612
Phone	809 878-5956
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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