40D0900291 CLIA NUMBER - METRO PAVIA HOME, LLC

Laboratory Demographics

  • CLIA Code: 40D0900291
  • Facility Name: METRO PAVIA HOME, LLC
  • Facility Address: CALLE BOLIVIA # 60, PISO 3, EDIFICIO FIRST MEDICAL
    SAN JUAN, PR
    ZIP 00918
  • Facility Phone: 787 705-6982
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. JORGE FAGES-TORRES
  • NPI Number: 1578704805
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D0900291
LAB Type Home Health Agency
Facility Name METRO PAVIA HOME, LLC
Street CALLE BOLIVIA # 60, PISO 3, EDIFICIO FIRST MEDICAL
City SAN JUAN
State PR
ZIP 00918
Phone 787 705-6982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Home Health Agency
Lab Director DR. JORGE FAGES-TORRES

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