40D0963575 CLIA NUMBER - IMRL CLINICAL LAB

Laboratory Demographics

  • CLIA Code: 40D0963575
  • Facility Name: IMRL CLINICAL LAB
  • Facility Address: 284 AVENIDA DOMENECH
    HATO REY, PR
    ZIP 00918
  • Facility Phone: 787 765-0807
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MRS. LOURDES B. MONTALVO
  • NPI Number: 1275817561
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 40D0963575
LAB Type Independent
Facility Name IMRL CLINICAL LAB
Street 284 AVENIDA DOMENECH
City HATO REY
State PR
ZIP 00918
Phone 787 765-0807
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Independent
Lab Director MRS. LOURDES B. MONTALVO

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