40D2030974 CLIA NUMBER - LABORATORIO CLINICO BULEVAR

Laboratory Demographics

  • CLIA Code: 40D2030974
  • Facility Name: LABORATORIO CLINICO BULEVAR
  • Facility Address: ROAD 14 KM 30HM 7 BARRIO SAN ILDEFONSO LOCAL 1 CENTRO DE CONVENCIONES DE COAMO
    COAMO, PR
    ZIP 00769
  • Facility Phone: 787 825-7262
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MRS. GRACE CORDOLIANI
  • NPI Number: 1487617841
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 40D2030974
LAB Type Independent
Facility Name LABORATORIO CLINICO BULEVAR
Street ROAD 14 KM 30HM 7 BARRIO SAN ILDEFONSO LOCAL 1 CENTRO DE CONVENCIONES DE COAMO
City COAMO
State PR
ZIP 00769
Phone 787 825-7262
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 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Independent
Lab Director MRS. GRACE CORDOLIANI

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