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40D2112768 CLIA NUMBER - EXPRESS CLINICAL LAB

Laboratory Demographics

CLIA Number: 40D2112768

Facility Name: EXPRESS CLINICAL LAB

Facility Address:
CARR-PR-3, AVE LOS VETERANOS, SOLAR B-11 VILLA ROSA III
GUAYAMA, PR
ZIP 00784
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Facility Phone Number: 787 617-0761

Facility Type: Independent

Certificate Type: Certificate of Compliance
NPI Number: 1356797377

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 40D2112768
LAB Type Independent
Facility Name EXPRESS CLINICAL LAB
Street CARR-PR-3, AVE LOS VETERANOS, SOLAR B-11 VILLA ROSA III
City GUAYAMA
State PR
ZIP 00784
Phone 787 617-0761
CertificateType 2
CertificateEffectiveDate 11/28/2023
CertificateExpirationDate 11/27/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024