Organization
PROGRAMA SIDA DE SAN JUAN-LAB
Active
Other names
Programa Sida de San Juan-Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS V CLAS MD (EXECUTIVE DIRECTOR/CEO)
(787) 480-3838
Entity
Organization
Contact information
Practice address
1306 AVE FERNANDEZ JUNCOS, SAN JUAN, PR 00909-2521
(787) 723-2424
Mailing address
1306 AVE FERNANDEZ JUNCOS, SAN JUAN, PR 00909-2521
(787) 723-2424
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA 40D0919476
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0919476
CLIA
PR
Enumeration date
05/25/2007
Last updated
03/11/2022
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