40D1024547 CLIA NUMBER - ENDOUROLOGICAL INSTITUTE INC CENTRO CIRUGIA AMBUL PROC UROLOGICOS

Laboratory Demographics

  • CLIA Code: 40D1024547
  • Facility Name: ENDOUROLOGICAL INSTITUTE INC CENTRO CIRUGIA AMBUL PROC UROLOGICOS
  • Facility Address: # 735 AVE PONCE DE LEON SUITE 608
    SAN JUAN, PR
    ZIP 00917
  • Facility Phone: 787 777-8181
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PABLO CARDONA
  • NPI Number: 1871609610
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D1024547
LAB Type Ambulatory Surgery Center
Facility Name ENDOUROLOGICAL INSTITUTE INC CENTRO CIRUGIA AMBUL PROC UROLOGICOS
Street # 735 AVE PONCE DE LEON SUITE 608
City SAN JUAN
State PR
ZIP 00917
Phone 787 777-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Ambulatory Surgery Center
Lab Director PABLO CARDONA

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