40D1019890 CLIA NUMBER - METRO PAVIA HOME, LLC

Laboratory Demographics

  • CLIA Code: 40D1019890
  • Facility Name: METRO PAVIA HOME, LLC
  • Facility Address: PLAZA LAS PIEDRAS, BARRIO MONTONES 183KM 20 HM 6, INTERSECCION 917
    LAS PIEDRAS, PR
    ZIP 00771
  • Facility Phone: (787) 852-3685
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. JORGE FAGES-TORRES
  • NPI Number: 1013321900
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 40D1019890
LAB Type Home Health Agency
Facility Name METRO PAVIA HOME, LLC
Street PLAZA LAS PIEDRAS, BARRIO MONTONES 183KM 20 HM 6, INTERSECCION 917
City LAS PIEDRAS
State PR
ZIP 00771
Phone 7878523685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2025
Certificate Expiration Date 12/2/2027
Facility Type Home Health Agency
Lab Director DR. JORGE FAGES-TORRES

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This page was last updated on: 5/15/2026