40D1076493 CLIA NUMBER - LAB CLINICO Y MOLECULAR SOUTHERN PATHOLOGY SERVICE

Laboratory Demographics

  • CLIA Code: 40D1076493
  • Facility Name: LAB CLINICO Y MOLECULAR SOUTHERN PATHOLOGY SERVICE
  • Facility Address: EDIFICIO DE FOMENTO S-153-074 CALLE A-234 PARQUE INDUSTRIAL SABANETA
    PONCE, PR
    ZIP 00716
  • Facility Phone: 787 651-0898
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JASMINE FIGUEROA-DIAZ
  • NPI Number: 1578759189
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 40D1076493
LAB Type Independent
Facility Name LAB CLINICO Y MOLECULAR SOUTHERN PATHOLOGY SERVICE
Street EDIFICIO DE FOMENTO S-153-074 CALLE A-234 PARQUE INDUSTRIAL SABANETA
City PONCE
State PR
ZIP 00716
Phone 787 651-0898
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 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Independent
Lab Director DR. JASMINE FIGUEROA-DIAZ

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