40D2084839 CLIA NUMBER - JOSE MATOS MALAVE

Laboratory Demographics

  • CLIA Code: 40D2084839
  • Facility Name: JOSE MATOS MALAVE
  • Facility Address: 239 ARTERIAL HOSTOS CAPITAL CENTER SUR 1202
    SAN JUAN, PR
    ZIP 00918
  • Facility Phone: 787 281-0030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSE MATOS
  • NPI Number: 1295736452
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 40D2084839
LAB Type Physician Office
Facility Name JOSE MATOS MALAVE
Street 239 ARTERIAL HOSTOS CAPITAL CENTER SUR 1202
City SAN JUAN
State PR
ZIP 00918
Phone 787 281-0030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director DR. JOSE MATOS

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