40D0987714 CLIA NUMBER - MAYAGUEZ OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 40D0987714
  • Facility Name: MAYAGUEZ OUTPATIENT CLINIC
  • Facility Address: INTERSECCION ALGARROBO KM 1499 BO SABANETAS
    MAYAGUEZ, PR
    ZIP 00681
  • Facility Phone: 787 834-6900
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DANIEL CONDE-STERLING
  • NPI Number: 1811932908
  • Taxonomy: 2471R0002X - Radiologic Technologist

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CLIA Record

Field Name Field Value
CLIA Number 40D0987714
LAB Type Community Clinic
Facility Name MAYAGUEZ OUTPATIENT CLINIC
Street INTERSECCION ALGARROBO KM 1499 BO SABANETAS
City MAYAGUEZ
State PR
ZIP 00681
Phone 787 834-6900
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/12/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DANIEL CONDE-STERLING

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