40D1095789 CLIA NUMBER - PANAMERICANO SAN JUAN

Laboratory Demographics

  • CLIA Code: 40D1095789
  • Facility Name: PANAMERICANO SAN JUAN
  • Facility Address: 735 PONCE DE LEON AVE STOP 37-5 AUX COND
    HATO REY, PR
    ZIP 00919
  • Facility Phone: 787 739-5555
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM ALMODOVAR
  • NPI Number: 1336375971
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 40D1095789
LAB Type Other
Facility Name PANAMERICANO SAN JUAN
Street 735 PONCE DE LEON AVE STOP 37-5 AUX COND
City HATO REY
State PR
ZIP 00919
Phone 787 739-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Other
Lab Director DR. WILLIAM ALMODOVAR

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