40D2054873 CLIA NUMBER - CENTRO OFTALMOLOGICO DE ARECIBO

Laboratory Demographics

  • CLIA Code: 40D2054873
  • Facility Name: CENTRO OFTALMOLOGICO DE ARECIBO
  • Facility Address: 404 AVENIDA DE DIEGO
    ARECIBO, PR
    ZIP 00612
  • Facility Phone: 787 878-2758
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUIS MONTALVO-BONILLA
  • NPI Number: 1801916275
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2054873
LAB Type Physician Office
Facility Name CENTRO OFTALMOLOGICO DE ARECIBO
Street 404 AVENIDA DE DIEGO
City ARECIBO
State PR
ZIP 00612
Phone 787 878-2758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director DR. LUIS MONTALVO-BONILLA

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