40D2141529 CLIA NUMBER - SAMUEL SANCHEZ PSC

Laboratory Demographics

  • CLIA Code: 40D2141529
  • Facility Name: SAMUEL SANCHEZ PSC
  • Facility Address: 200 GRAND BOULEVARD LOS PRADOS PLAZA LOS PRADOS SUITE Z-5
    CAGUAS, PR
    ZIP 00726
  • Facility Phone: 787 598-5853
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAMUEL SANCHEZ
  • NPI Number: 1154543221
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 40D2141529
LAB Type Physician Office
Facility Name SAMUEL SANCHEZ PSC
Street 200 GRAND BOULEVARD LOS PRADOS PLAZA LOS PRADOS SUITE Z-5
City CAGUAS
State PR
ZIP 00726
Phone 787 598-5853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director DR. SAMUEL SANCHEZ

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