40D2179420 CLIA NUMBER - CENTRO MEDICO CORRECCIONAL

Laboratory Demographics

  • CLIA Code: 40D2179420
  • Facility Name: CENTRO MEDICO CORRECCIONAL
  • Facility Address: AVE CENTRAL JUANITA CARR # 5
    BAYAMON, PR
    ZIP 00960
  • Facility Phone: 787 520-6110
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. FELIZ RODRIGUEZ
  • NPI Number: 1477631497
  • Taxonomy: 282N00000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 40D2179420
LAB Type Prison
Facility Name CENTRO MEDICO CORRECCIONAL
Street AVE CENTRAL JUANITA CARR # 5
City BAYAMON
State PR
ZIP 00960
Phone 787 520-6110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Prison
Lab Director DR. FELIZ RODRIGUEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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