40D2057127 CLIA NUMBER - CDT DR MARRERO

Laboratory Demographics

  • CLIA Code: 40D2057127
  • Facility Name: CDT DR MARRERO
  • Facility Address: 54 CALLE TNTE LUIS GARCIA
    ARECIBO, PR
    ZIP 00612
  • Facility Phone: 787 878-5534
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JOSE A. MARRERO-NIEVES
  • NPI Number: 1023051844
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2057127
LAB Type Community Clinic
Facility Name CDT DR MARRERO
Street 54 CALLE TNTE LUIS GARCIA
City ARECIBO
State PR
ZIP 00612
Phone 787 878-5534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Community Clinic
Lab Director DR. JOSE A. MARRERO-NIEVES

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