40D1090346 CLIA NUMBER - GUAYNABO AMBULATORY SURGICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 40D1090346
  • Facility Name: GUAYNABO AMBULATORY SURGICAL GROUP INC
  • Facility Address: CARR 165 KM 1 HM 2 CITY VIEW PLAZA II SUITE 1010
    GUAYNABO, PR
    ZIP 00968
  • Facility Phone: 787 775-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT BOADA
  • NPI Number: 1801215579
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 40D1090346
LAB Type Ambulatory Surgery Center
Facility Name GUAYNABO AMBULATORY SURGICAL GROUP INC
Street CARR 165 KM 1 HM 2 CITY VIEW PLAZA II SUITE 1010
City GUAYNABO
State PR
ZIP 00968
Phone 787 775-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT BOADA

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