40D2212979 CLIA NUMBER - PUERTO RICO EYE INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 40D2212979
  • Facility Name: PUERTO RICO EYE INSTITUTE, LLC
  • Facility Address: PR-1 AVE SAKURA PLAZA BAIROA SUITE 245
    CAGUAS, PR
    ZIP 00725
  • Facility Phone: 787 641-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS FERNANDEZ
  • NPI Number: 1952903692
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2212979
LAB Type Physician Office
Facility Name PUERTO RICO EYE INSTITUTE, LLC
Street PR-1 AVE SAKURA PLAZA BAIROA SUITE 245
City CAGUAS
State PR
ZIP 00725
Phone 787 641-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director CARLOS FERNANDEZ

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