40D0931735 CLIA NUMBER - GASTROENTEROLOGY CENTRE

Laboratory Demographics

  • CLIA Code: 40D0931735
  • Facility Name: GASTROENTEROLOGY CENTRE
  • Facility Address: VILLA ROSA III A3 PEDRO ALBIZU CAMPOS
    GUAYAMA, PR
    ZIP 00784
  • Facility Phone: 787 866-3584
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director:
  • NPI Number: 1992790133
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 40D0931735
LAB Type Physician Office
Facility Name GASTROENTEROLOGY CENTRE
Street VILLA ROSA III A3 PEDRO ALBIZU CAMPOS
City GUAYAMA
State PR
ZIP 00784
Phone 787 866-3584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office

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