40D2040464 CLIA NUMBER - MARISOL RIVERA

Laboratory Demographics

  • CLIA Code: 40D2040464
  • Facility Name: MARISOL RIVERA
  • Facility Address: 165 MENDEZ VIGO
    MAYAGUEZ, PR
    ZIP 00680
  • Facility Phone: 787 832-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARISOL RIVERA
  • NPI Number: 1073620688
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 40D2040464
LAB Type Physician Office
Facility Name MARISOL RIVERA
Street 165 MENDEZ VIGO
City MAYAGUEZ
State PR
ZIP 00680
Phone 787 832-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DR. MARISOL RIVERA

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