40D2038433 CLIA NUMBER - CENTRO DE NEUMOLOGIA PEDIATRICA

Laboratory Demographics

CLIA Number: 40D2038433

Facility Name: CENTRO DE NEUMOLOGIA PEDIATRICA

Facility Address:
AVENIDA PONCE DE LEON # 735 TORRE MEDICA AUXILIO MUTUO SUITE 215
SAN JUAN, PR
ZIP 00918
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Facility Phone Number: 787 758-2780

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1104977230

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 40D2038433
LAB Type Physician Office
Facility Name CENTRO DE NEUMOLOGIA PEDIATRICA
Street AVENIDA PONCE DE LEON # 735 TORRE MEDICA AUXILIO MUTUO SUITE 215
City SAN JUAN
State PR
ZIP 00918
Phone 787 758-2780
CertificateType 2
CertificateEffectiveDate 12/14/2022
CertificateExpirationDate 12/13/2024
FacilityType Compliance

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