40D2086112 CLIA NUMBER - CENTRO OFTALMOLOGICO JOSE BENITEZ

Laboratory Demographics

  • CLIA Code: 40D2086112
  • Facility Name: CENTRO OFTALMOLOGICO JOSE BENITEZ
  • Facility Address: AVE PADRE RIVERA # 15
    HUMACAO, PR
    ZIP 00791
  • Facility Phone: (787) 852-6825
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSE BENITEZ
  • NPI Number: 1598113409
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 40D2086112
LAB Type Physician Office
Facility Name CENTRO OFTALMOLOGICO JOSE BENITEZ
Street AVE PADRE RIVERA # 15
City HUMACAO
State PR
ZIP 00791
Phone 7878526825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director DR. JOSE BENITEZ

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