40D2059592 CLIA NUMBER - ADVANCED ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 40D2059592
  • Facility Name: ADVANCED ENDOSCOPY CENTER LLC
  • Facility Address: 2213 PONCE BY PASS
    PONCE, PR
    ZIP 00717
  • Facility Phone: 787 843-1129
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. NILDA SANTIAGO
  • NPI Number: 1558509224
  • Taxonomy: 302R00000X - Health Maintenance Organization

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 40D2059592
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED ENDOSCOPY CENTER LLC
Street 2213 PONCE BY PASS
City PONCE
State PR
ZIP 00717
Phone 787 843-1129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. NILDA SANTIAGO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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