40D2040371 CLIA NUMBER - RENAL CENTER OF JUNCOS, THE

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Laboratory Demographics

CLIA Number: 40D2040371

Facility Name: RENAL CENTER OF JUNCOS, THE

Facility Address:
JUNCOS PLAZA III LOCAL0-10,11,12 ROAD 31 KM 2 HM 4
JUNCOS, PR
ZIP 00777
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Facility Phone Number: 787 292-7979

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1679787543

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	40D2040371
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENAL CENTER OF JUNCOS, THE
Street	JUNCOS PLAZA III LOCAL0-10,11,12 ROAD 31 KM 2 HM 4
City	JUNCOS
State	PR
ZIP	00777
Phone	787 292-7979
CertificateType	4
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Waiver

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