40D2136473 CLIA NUMBER - HOSPICIO DIVINA MISERICORDIA, CORP

Laboratory Demographics

  • CLIA Code: 40D2136473
  • Facility Name: HOSPICIO DIVINA MISERICORDIA, CORP
  • Facility Address: AVE MUNOZ RIVERA # 41
    VEGA ALTA, PR
    ZIP 00692
  • Facility Phone: 787 327-0523
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. GUSTAVO CEDENO
  • NPI Number: 1932462991
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 40D2136473
LAB Type Hospice
Facility Name HOSPICIO DIVINA MISERICORDIA, CORP
Street AVE MUNOZ RIVERA # 41
City VEGA ALTA
State PR
ZIP 00692
Phone 787 327-0523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Hospice
Lab Director DR. GUSTAVO CEDENO

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