40D2261815 CLIA NUMBER - SPECIALTY FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 40D2261815

Facility Name: SPECIALTY FAMILY HEALTH CENTER

Facility Address:
CARR PR-149, KM 58, HM 5, BARRIO TIERRA SANTA
VILLALBA, PR
ZIP 00766
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Facility Phone Number: 787 337-5221

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1740324847

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	40D2261815
LAB Type	Independent
Facility Name	SPECIALTY FAMILY HEALTH CENTER
Street	CARR PR-149, KM 58, HM 5, BARRIO TIERRA SANTA
City	VILLALBA
State	PR
ZIP	00766
Phone	787 337-5221
CertificateType	2
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024