40D0899477 CLIA NUMBER - CONDADO HOME CARE PROGRAM INC

Laboratory Demographics

  • CLIA Code: 40D0899477
  • Facility Name: CONDADO HOME CARE PROGRAM INC
  • Facility Address: CALLE DUARTE #186
    HATO REY, PR
    ZIP 00917
  • Facility Phone: 809 758-8180
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: EDIMAR COLON
  • NPI Number: 1962588285
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 40D0899477
LAB Type Home Health Agency
Facility Name CONDADO HOME CARE PROGRAM INC
Street CALLE DUARTE #186
City HATO REY
State PR
ZIP 00917
Phone 809 758-8180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Home Health Agency
Lab Director EDIMAR COLON

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