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40D0912760 CLIA NUMBER - VEGA BAJA RENAL DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 40D0912760

Facility Name: VEGA BAJA RENAL DIALYSIS CENTER

Facility Address:
# 3992 , ROAD #2
VEGA BAJA, PR
ZIP 00693
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Facility Phone Number: 787 858-3290

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1174569933

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 40D0912760
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VEGA BAJA RENAL DIALYSIS CENTER
Street # 3992 , ROAD #2
City VEGA BAJA
State PR
ZIP 00693
Phone 787 858-3290
CertificateType 4
CertificateEffectiveDate 3/12/2024
CertificateExpirationDate 3/11/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024