40D2148545 CLIA NUMBER - RETINA CARE PSC

Laboratory Demographics

  • CLIA Code: 40D2148545
  • Facility Name: RETINA CARE PSC
  • Facility Address: 452 AVE RIVERA AULET
    ARECIBO, PR
    ZIP 00612
  • Facility Phone: 787 680-7222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDRES EMANUELLI
  • NPI Number: 1982958773
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 40D2148545
LAB Type Physician Office
Facility Name RETINA CARE PSC
Street 452 AVE RIVERA AULET
City ARECIBO
State PR
ZIP 00612
Phone 787 680-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director DR. ANDRES EMANUELLI

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