40D1073096 CLIA NUMBER - IVAN MELENDEZ-CENTRO ARARAT

Laboratory Demographics

  • CLIA Code: 40D1073096
  • Facility Name: IVAN MELENDEZ-CENTRO ARARAT
  • Facility Address: 8169 CONCORDIA SUITE 412
    PONCE, PR
    ZIP 00717
  • Facility Phone: 787 284-5884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN MELENDEZ RIVERA
  • NPI Number: 1972528214
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 40D1073096
LAB Type Physician Office
Facility Name IVAN MELENDEZ-CENTRO ARARAT
Street 8169 CONCORDIA SUITE 412
City PONCE
State PR
ZIP 00717
Phone 787 284-5884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director IVAN MELENDEZ RIVERA

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