40D2119711 CLIA NUMBER - INTERCAMBIOS PUERTO RICO, INC

Laboratory Demographics

  • CLIA Code: 40D2119711
  • Facility Name: INTERCAMBIOS PUERTO RICO, INC
  • Facility Address: 165 CALLE DIEGO ZALDUONDO -ALTOS
    FAJARDO, PR
    ZIP 00738
  • Facility Phone: 787 678-9008
  • Facility Type: Other - SU=YRINGE EXCHANGE PROGRA
  • Facility Type: Waiver
  • Lab Director: MR. RAFAEL TORRUELLA
  • NPI Number: 1306570551
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2119711
LAB Type Other - SU=YRINGE EXCHANGE PROGRA
Facility Name INTERCAMBIOS PUERTO RICO, INC
Street 165 CALLE DIEGO ZALDUONDO -ALTOS
City FAJARDO
State PR
ZIP 00738
Phone 787 678-9008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Other - SU=YRINGE EXCHANGE PROGRA
Lab Director MR. RAFAEL TORRUELLA

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