40D2321879 CLIA NUMBER - SSJ 300 LLC

Laboratory Demographics

  • CLIA Code: 40D2321879
  • Facility Name: SSJ 300 LLC
  • Facility Address: 373 CALLE SAN JORGE, SUITE 100
    SAN JUAN, PR
    ZIP 00912
  • Facility Phone: 787 671-0416
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RAFAEL A. CUOTO
  • NPI Number: 1053282251
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2321879
LAB Type Ambulatory Surgery Center
Facility Name SSJ 300 LLC
Street 373 CALLE SAN JORGE, SUITE 100
City SAN JUAN
State PR
ZIP 00912
Phone 787 671-0416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RAFAEL A. CUOTO

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