40D2177789 CLIA NUMBER - MED CENTRO, INC - CDT PENUELAS

Laboratory Demographics

  • CLIA Code: 40D2177789
  • Facility Name: MED CENTRO, INC - CDT PENUELAS
  • Facility Address: KM HM 6-5 CARR #385 BO CUEVAS
    PENUELAS, PR
    ZIP 00624
  • Facility Phone: 787 843-9393
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: MRS. SAMUEL RIVERA
  • NPI Number: 1952939258
  • Taxonomy: 261QR0206X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2177789
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MED CENTRO, INC - CDT PENUELAS
Street KM HM 6-5 CARR #385 BO CUEVAS
City PENUELAS
State PR
ZIP 00624
Phone 787 843-9393
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MRS. SAMUEL RIVERA

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