40D2092463 CLIA NUMBER - SPECIALIZED EYE CARE

Laboratory Demographics

  • CLIA Code: 40D2092463
  • Facility Name: SPECIALIZED EYE CARE
  • Facility Address: 735 PONCE DE LEON -TORRE AUXILIO MUTUO SUITE 503
    SAN JUAN, PR
    ZIP 00917
  • Facility Phone: 787 510-7880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELENA JIMENEZ
  • NPI Number: 1962885871
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 40D2092463
LAB Type Physician Office
Facility Name SPECIALIZED EYE CARE
Street 735 PONCE DE LEON -TORRE AUXILIO MUTUO SUITE 503
City SAN JUAN
State PR
ZIP 00917
Phone 787 510-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director DR. ELENA JIMENEZ

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