40D2110311 CLIA NUMBER - EZER CAMACHO, MD NOVO VISION OPHTHALMOLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 40D2110311
  • Facility Name: EZER CAMACHO, MD NOVO VISION OPHTHALMOLOGY CLINIC
  • Facility Address: CARR 159, EDIF PLAZA DEL CARMEN, SUITE 306
    COROZAL, PR
    ZIP 00783
  • Facility Phone: 787 802-1335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EZER CAMACHO
  • NPI Number: 1023200748
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 40D2110311
LAB Type Physician Office
Facility Name EZER CAMACHO, MD NOVO VISION OPHTHALMOLOGY CLINIC
Street CARR 159, EDIF PLAZA DEL CARMEN, SUITE 306
City COROZAL
State PR
ZIP 00783
Phone 787 802-1335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director DR. EZER CAMACHO

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