40D2104061 CLIA NUMBER - AD-VANCE MEDICAL RESEARCH, LLC (RESEARCH)

Laboratory Demographics

  • CLIA Code: 40D2104061
  • Facility Name: AD-VANCE MEDICAL RESEARCH, LLC (RESEARCH)
  • Facility Address: 1217 HOSTOS AVE, SUITE 101
    PONCE, PR
    ZIP 00717
  • Facility Phone: 787 651-6697
  • Facility Type: Other - CLINICAL RESEARCH FACILIT
  • Facility Type: Waiver
  • Lab Director: DR. HECTOR VELEZ-CORTES
  • NPI Number: 1619336245
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 40D2104061
LAB Type Other - CLINICAL RESEARCH FACILIT
Facility Name AD-VANCE MEDICAL RESEARCH, LLC (RESEARCH)
Street 1217 HOSTOS AVE, SUITE 101
City PONCE
State PR
ZIP 00717
Phone 787 651-6697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Other - CLINICAL RESEARCH FACILIT
Lab Director DR. HECTOR VELEZ-CORTES

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