40D0902405 CLIA NUMBER - HOSPICIO MENONITA

Laboratory Demographics

  • CLIA Code: 40D0902405
  • Facility Name: HOSPICIO MENONITA
  • Facility Address: CARR #1 KM 34 HM 9 BO BAIROA
    CAGUAS, PR
    ZIP 00726
  • Facility Phone: 787 258-1628
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MRS. MARIA BONILLA
  • NPI Number: 1427036342
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 40D0902405
LAB Type Hospice
Facility Name HOSPICIO MENONITA
Street CARR #1 KM 34 HM 9 BO BAIROA
City CAGUAS
State PR
ZIP 00726
Phone 787 258-1628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Hospice
Lab Director MRS. MARIA BONILLA

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