40D2187711 CLIA NUMBER - CLINICA DE CIRUGIA AMBULATORIA DR LUIS A VAZQUEZ

Laboratory Demographics

  • CLIA Code: 40D2187711
  • Facility Name: CLINICA DE CIRUGIA AMBULATORIA DR LUIS A VAZQUEZ
  • Facility Address: EDIF LA PALMA, CALLE PERAL ESQ DE DIEGO 6 TO PISO
    MAYAGUEZ, PR
    ZIP 00680
  • Facility Phone: 787 833-4400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANGEL ALMODOVAR
  • NPI Number: 1124370515
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 40D2187711
LAB Type Ambulatory Surgery Center
Facility Name CLINICA DE CIRUGIA AMBULATORIA DR LUIS A VAZQUEZ
Street EDIF LA PALMA, CALLE PERAL ESQ DE DIEGO 6 TO PISO
City MAYAGUEZ
State PR
ZIP 00680
Phone 787 833-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Ambulatory Surgery Center
Lab Director ANGEL ALMODOVAR

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