40D2217992 CLIA NUMBER - PEDIATRIC HOME CARE SERVICES

Laboratory Demographics

  • CLIA Code: 40D2217992
  • Facility Name: PEDIATRIC HOME CARE SERVICES
  • Facility Address: BORI ST 1502
    SAN JUAN, PR
    ZIP 00927
  • Facility Phone: 787 789-6712
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MILAGROS VARGAS
  • NPI Number: 1831234301
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 40D2217992
LAB Type Home Health Agency
Facility Name PEDIATRIC HOME CARE SERVICES
Street BORI ST 1502
City SAN JUAN
State PR
ZIP 00927
Phone 787 789-6712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Home Health Agency
Lab Director MILAGROS VARGAS

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