Organization
POTOMAR LABORATORIES INC.
Active
Organization
POTOMAR LABORATORIES INC.
Active
Other names
Laboratorio Clinico Santa Ana
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA GUTIERREZ BSMT (DIRECTOR)
(787) 883-1271
Entity
Organization
Contact information
Practice address
SANTA RITA H44 CALLE MARGINAL, VEGA ALTA, PR 00692
(787) 883-1271
(787) 883-1271
Mailing address
PO BOX 1950, BAYAMON, PR 00960-1950
(787) 883-1271
(787) 883-1271
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LICENCE # 689
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0658222
CLIA CMS CERTIFICATE #
PR
01
—
LICENCE # 689
DPT. OF HEALTH LICENCE #
PR
Enumeration date
10/02/2006
Last updated
05/27/2008
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