40D2323166 CLIA NUMBER - SAN JUAN CAPESTRANO HOSPITAL INC MAYAGUEZ IOP PROGRAM

Laboratory Demographics

  • CLIA Code: 40D2323166
  • Facility Name: SAN JUAN CAPESTRANO HOSPITAL INC MAYAGUEZ IOP PROGRAM
  • Facility Address: EDIF SANTANDER SECURITY PLAZA AVE HOSTOS 349 SUITE 104
    MAYAGUEZ, PR
    ZIP 00681
  • Facility Phone: 787 265-2300
  • Facility Type: Other - IOP PROGRAM
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM LUGO
  • NPI Number: 1326257809
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 40D2323166
LAB Type Other - IOP PROGRAM
Facility Name SAN JUAN CAPESTRANO HOSPITAL INC MAYAGUEZ IOP PROGRAM
Street EDIF SANTANDER SECURITY PLAZA AVE HOSTOS 349 SUITE 104
City MAYAGUEZ
State PR
ZIP 00681
Phone 787 265-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Other - IOP PROGRAM
Lab Director DR. WILLIAM LUGO

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