40D2268599 CLIA NUMBER - CDT HORMIGUEROS

Laboratory Demographics

CLIA Number: 40D2268599

Facility Name: CDT HORMIGUEROS

Facility Address:
# 2 LUIS MUNOZ MARIN
HORMIGUEROS, PR
ZIP 00660
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Facility Phone Number: 787 673-1238

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1386928349

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	40D2268599
LAB Type	Community Clinic
Facility Name	CDT HORMIGUEROS
Street	# 2 LUIS MUNOZ MARIN
City	HORMIGUEROS
State	PR
ZIP	00660
Phone	787 673-1238
CertificateType	2
CertificateEffectiveDate	1/24/2024
CertificateExpirationDate	1/23/2026
FacilityType	Compliance

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