40D0966818 CLIA NUMBER - LAB CLINICO Y BACT EBENEZER

Laboratory Demographics

  • CLIA Code: 40D0966818
  • Facility Name: LAB CLINICO Y BACT EBENEZER
  • Facility Address: CARR #2 KM 118 HM 5 BO CEIBA BAJA
    AGUADILLA, PR
    ZIP 00603
  • Facility Phone: 787 882-1785
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MRS. MARIA E. NIEVES
  • NPI Number: 1275719874
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 40D0966818
LAB Type Independent
Facility Name LAB CLINICO Y BACT EBENEZER
Street CARR #2 KM 118 HM 5 BO CEIBA BAJA
City AGUADILLA
State PR
ZIP 00603
Phone 787 882-1785
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 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Independent
Lab Director MRS. MARIA E. NIEVES

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