40D1026563 CLIA NUMBER - METRO PAVIA HOME, LLC

Laboratory Demographics

  • CLIA Code: 40D1026563
  • Facility Name: METRO PAVIA HOME, LLC
  • Facility Address: PLAZA MONSERRATE IV, CARR 345, KM2, HM1 INTCARR PR2, KM2, INTERIOR BARRIO LAVADERO
    HORMIGUEROS, PR
    ZIP 00660
  • Facility Phone: 787 833-1985
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. JORGE J. FAGES-TORRES
  • NPI Number: 1487068375
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 40D1026563
LAB Type Home Health Agency
Facility Name METRO PAVIA HOME, LLC
Street PLAZA MONSERRATE IV, CARR 345, KM2, HM1 INTCARR PR2, KM2, INTERIOR BARRIO LAVADERO
City HORMIGUEROS
State PR
ZIP 00660
Phone 787 833-1985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Home Health Agency
Lab Director DR. JORGE J. FAGES-TORRES

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