40D2102674 CLIA NUMBER - JOSE J LOPEZ

Laboratory Demographics

  • CLIA Code: 40D2102674
  • Facility Name: JOSE J LOPEZ
  • Facility Address: 5230 CALLE 5-20 URB JARDINES DE MONTEBRISAS
    FAJARDO, PR
    ZIP 00738
  • Facility Phone: (787) 648-8148
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSE J. LOPEZ
  • NPI Number: 1144422858
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 40D2102674
LAB Type Physician Office
Facility Name JOSE J LOPEZ
Street 5230 CALLE 5-20 URB JARDINES DE MONTEBRISAS
City FAJARDO
State PR
ZIP 00738
Phone 7876488148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director DR. JOSE J. LOPEZ

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