40D0902055 CLIA NUMBER - CONDADO HOSPICE PROGRAM INC

Laboratory Demographics

  • CLIA Code: 40D0902055
  • Facility Name: CONDADO HOSPICE PROGRAM INC
  • Facility Address: JUAN P DUARTE 186
    SAN JUAN, PR
    ZIP 00917
  • Facility Phone: 787 758-4310
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MRS. MARILU VELEZ
  • NPI Number: 1770584765
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 40D0902055
LAB Type Hospice
Facility Name CONDADO HOSPICE PROGRAM INC
Street JUAN P DUARTE 186
City SAN JUAN
State PR
ZIP 00917
Phone 787 758-4310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Hospice
Lab Director MRS. MARILU VELEZ

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