40D2159940 CLIA NUMBER - PROFESSIONAL INFUSION CENTER, INC

Laboratory Demographics

  • CLIA Code: 40D2159940
  • Facility Name: PROFESSIONAL INFUSION CENTER, INC
  • Facility Address: 1221 AVE AMERICO MIRANDA, RPTO METROPOLITANO
    SAN JUAN, PR
    ZIP 00921
  • Facility Phone: 787 474-2940
  • Facility Type: Other - AMBULATORY INFUSION CENTE
  • Facility Type: Waiver
  • Lab Director: DR. FRANCISCO SANDOVAL
  • NPI Number: 1235347725
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 40D2159940
LAB Type Other - AMBULATORY INFUSION CENTE
Facility Name PROFESSIONAL INFUSION CENTER, INC
Street 1221 AVE AMERICO MIRANDA, RPTO METROPOLITANO
City SAN JUAN
State PR
ZIP 00921
Phone 787 474-2940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Other - AMBULATORY INFUSION CENTE
Lab Director DR. FRANCISCO SANDOVAL

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