40D1092624 CLIA NUMBER - PROFESSIONAL HOSPITAL GUAYNABO

Laboratory Demographics

  • CLIA Code: 40D1092624
  • Facility Name: PROFESSIONAL HOSPITAL GUAYNABO
  • Facility Address: AVE LAS CUMBRES
    GUAYNABO, PR
    ZIP 00969
  • Facility Phone: 787 708-6560
  • Facility Type: Health Fair
  • Facility Type: Certificate of Compliance
  • Lab Director: MRS. ENEIDA I. DE JESUS
  • NPI Number: 1669998878
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 40D1092624
LAB Type Health Fair
Facility Name PROFESSIONAL HOSPITAL GUAYNABO
Street AVE LAS CUMBRES
City GUAYNABO
State PR
ZIP 00969
Phone 787 708-6560
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Health Fair
Lab Director MRS. ENEIDA I. DE JESUS

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