40D0912395 CLIA NUMBER - JORGE L RIVERA HERRERA

Laboratory Demographics

  • CLIA Code: 40D0912395
  • Facility Name: JORGE L RIVERA HERRERA
  • Facility Address: SAN JORGE MEDICAL OFFICE BLDG SAN JORGE STREET 258 SUITE 401
    SAN JUAN, PR
    ZIP 00912
  • Facility Phone: 787 754-7327
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JORGE L. RIVERA HERRERA
  • NPI Number: 1447211677
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 40D0912395
LAB Type Physician Office
Facility Name JORGE L RIVERA HERRERA
Street SAN JORGE MEDICAL OFFICE BLDG SAN JORGE STREET 258 SUITE 401
City SAN JUAN
State PR
ZIP 00912
Phone 787 754-7327
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director JORGE L. RIVERA HERRERA

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