40D2305704 CLIA NUMBER - CARIBBEAN INFECTOLOGY CONSULTING GROUP

Laboratory Demographics

  • CLIA Code: 40D2305704
  • Facility Name: CARIBBEAN INFECTOLOGY CONSULTING GROUP
  • Facility Address: 2053 PONCE BY PASS EDIF CENTRO CARIBE SUITE 205
    PONCE, PR
    ZIP 00717
  • Facility Phone: 787 987-8050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUIS LUGO
  • NPI Number: 1659870640
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2305704
LAB Type Physician Office
Facility Name CARIBBEAN INFECTOLOGY CONSULTING GROUP
Street 2053 PONCE BY PASS EDIF CENTRO CARIBE SUITE 205
City PONCE
State PR
ZIP 00717
Phone 787 987-8050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director DR. LUIS LUGO

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