40D2031322 CLIA NUMBER - LA PERLA DEL GRAN PRECIO

Laboratory Demographics

  • CLIA Code: 40D2031322
  • Facility Name: LA PERLA DEL GRAN PRECIO
  • Facility Address: CALLE GAUTIER BENITEZ # 66
    SAN JUAN, PR
    ZIP 00918
  • Facility Phone: 787 282-0012
  • Facility Type: Other - OUT REACH ACTIVITY
  • Facility Type: Waiver
  • Lab Director: MRS. LISSETTE ALONSO
  • NPI Number: 1518255017
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 40D2031322
LAB Type Other - OUT REACH ACTIVITY
Facility Name LA PERLA DEL GRAN PRECIO
Street CALLE GAUTIER BENITEZ # 66
City SAN JUAN
State PR
ZIP 00918
Phone 787 282-0012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Other - OUT REACH ACTIVITY
Lab Director MRS. LISSETTE ALONSO

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