40D2133089 CLIA NUMBER - SANTURCE MEDICAL MALL CLINICAL LAB

Laboratory Demographics

  • CLIA Code: 40D2133089
  • Facility Name: SANTURCE MEDICAL MALL CLINICAL LAB
  • Facility Address: AVE PONCE DE LEON 1801, EDIF SANTURCE MEDICAL MALL LOCAL 101-C
    SANTURCE, PR
    ZIP 00909
  • Facility Phone: 787 638-8410
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MRS. VIRMA T. PESQUERA
  • NPI Number: 1891948436
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 40D2133089
LAB Type Independent
Facility Name SANTURCE MEDICAL MALL CLINICAL LAB
Street AVE PONCE DE LEON 1801, EDIF SANTURCE MEDICAL MALL LOCAL 101-C
City SANTURCE
State PR
ZIP 00909
Phone 787 638-8410
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Independent
Lab Director MRS. VIRMA T. PESQUERA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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