40D2015471 CLIA NUMBER - CDT DR MANUEL QUEVEDO

Laboratory Demographics

  • CLIA Code: 40D2015471
  • Facility Name: CDT DR MANUEL QUEVEDO
  • Facility Address: 359 CALLE SAN AGUSTIN PUERTA DE TIERRA
    SAN JUAN, PR
    ZIP 00901
  • Facility Phone: 787 480-3900
  • Facility Type: Other - MUNICIPAL HEALTH LAB
  • Facility Type: Waiver
  • Lab Director: DR. VERONICA RODRIGUEZ
  • NPI Number: 1811102502
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2015471
LAB Type Other - MUNICIPAL HEALTH LAB
Facility Name CDT DR MANUEL QUEVEDO
Street 359 CALLE SAN AGUSTIN PUERTA DE TIERRA
City SAN JUAN
State PR
ZIP 00901
Phone 787 480-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Other - MUNICIPAL HEALTH LAB
Lab Director DR. VERONICA RODRIGUEZ

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