40D2016940 CLIA NUMBER - CASA JOVEN DEL CARIBE INC

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Laboratory Demographics

CLIA Number: 40D2016940

Facility Name: CASA JOVEN DEL CARIBE INC

Facility Address:
ROAD 820 KM 0 HM 8 SECTOR MARZAN BARRIO RIO LAJAS
TOA ALTA, PR
ZIP 00954
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Facility Phone Number: 787 796-2832

Facility Type: Other - COMMUNITY SERVICES

Certificate Type: Waiver

NPI Number: 1215294343

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	40D2016940
LAB Type	Other - COMMUNITY SERVICES
Facility Name	CASA JOVEN DEL CARIBE INC
Street	ROAD 820 KM 0 HM 8 SECTOR MARZAN BARRIO RIO LAJAS
City	TOA ALTA
State	PR
ZIP	00954
Phone	787 796-2832
CertificateType	4
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024