40D2311222 CLIA NUMBER - PUERTO RICO HEALTH AND WELLNESS INSTITUTE

Laboratory Demographics

  • CLIA Code: 40D2311222
  • Facility Name: PUERTO RICO HEALTH AND WELLNESS INSTITUTE
  • Facility Address: 503 CALLE EXT SUR
    DORADO, PR
    ZIP 00646
  • Facility Phone: (787) 796-1049
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELHAM GHORBANI

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CLIA Record

Field Name Field Value
CLIA Number 40D2311222
LAB Type Physician Office
Facility Name PUERTO RICO HEALTH AND WELLNESS INSTITUTE
Street 503 CALLE EXT SUR
City DORADO
State PR
ZIP 00646
Phone 7877961049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director ELHAM GHORBANI

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This page was last updated on: 6/29/2026