40D2044192 CLIA NUMBER - INSTITUTO PSICOPEDAGOGICO DE PUERTO RICO

Laboratory Demographics

CLIA Code: 40D2044192
Facility Name: INSTITUTO PSICOPEDAGOGICO DE PUERTO RICO
Facility Address: CARRETERA # 2 , KM 8, HM 5
BAYAMON, PR
ZIP 00959
Facility Phone: (787) 783-5431
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: MRS. WILDA BARQUET
NPI Number: 1043497795
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	40D2044192
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	INSTITUTO PSICOPEDAGOGICO DE PUERTO RICO
Street	CARRETERA # 2 , KM 8, HM 5
City	BAYAMON
State	PR
ZIP	00959
Phone	7877835431
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/18/2024
Certificate Expiration Date	7/17/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	MRS. WILDA BARQUET

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This page was last updated on: 5/18/2026