40D2112769 CLIA NUMBER - PREMIER HEALTH SCREENING CORP

Laboratory Demographics

  • CLIA Code: 40D2112769
  • Facility Name: PREMIER HEALTH SCREENING CORP
  • Facility Address: CENTRO COMERCIAL PLAZA 66, LOCAL #5 CALLE 848 ESQ FLORENTINO ROMAN BO SAN ANTON
    CAROLINA, PR
    ZIP 00987
  • Facility Phone: 787 789-3032
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: MR. FRANCISCO ALVAREZ
  • NPI Number: 1841440781
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2112769
LAB Type Health Fair
Facility Name PREMIER HEALTH SCREENING CORP
Street CENTRO COMERCIAL PLAZA 66, LOCAL #5 CALLE 848 ESQ FLORENTINO ROMAN BO SAN ANTON
City CAROLINA
State PR
ZIP 00987
Phone 787 789-3032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Health Fair
Lab Director MR. FRANCISCO ALVAREZ

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