40D2139577 CLIA NUMBER - APS CLINICS OF PUERTO RICO INC

Laboratory Demographics

CLIA Number: 40D2139577

Facility Name: APS CLINICS OF PUERTO RICO INC

Facility Address:
MOCA PROFESSIONAL, PLAZA PR 111, INT 110, KM14 HM 5
MOCA, PR
ZIP 00676
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Facility Phone Number: 787 641-0773

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275173437

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	40D2139577
LAB Type	Physician Office
Facility Name	APS CLINICS OF PUERTO RICO INC
Street	MOCA PROFESSIONAL, PLAZA PR 111, INT 110, KM14 HM 5
City	MOCA
State	PR
ZIP	00676
Phone	787 641-0773
CertificateType	4
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	Waiver

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