40D2164251 CLIA NUMBER - CENTRO DE SALUD FAMILIAR MENONITA DE CULEBRA

Laboratory Demographics

CLIA Number: 40D2164251

Facility Name: CENTRO DE SALUD FAMILIAR MENONITA DE CULEBRA

Facility Address:
CALLE WILLIAM FONT
CULEBRA, PR
ZIP 00775
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Facility Phone Number: 787 653-0550

Facility Type: Other - AMBULATORY EMERGENCY ROOM

Certificate Type: Certificate of Compliance

NPI Number: 1659836542

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	40D2164251
LAB Type	Other - AMBULATORY EMERGENCY ROOM
Facility Name	CENTRO DE SALUD FAMILIAR MENONITA DE CULEBRA
Street	CALLE WILLIAM FONT
City	CULEBRA
State	PR
ZIP	00775
Phone	787 653-0550
CertificateType	2
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Compliance

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