LABORATORIO CLINICO SAN ANTONIO
NPI 1710176177
Clinical Medical Laboratory in San Sebastian, PR

Active since October 22, 2007CLIA 40D0662395 · Certificate of Compliance
1488 AVE EMERITO ESTRADA RIVERA, SAN SEBASTIAN, PR 00685(787) 896-1076(787) 896-1076 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 40D0662395
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 05-27-2028

About LABORATORIO CLINICO SAN ANTONIO

This page provides the complete NPI Profile along with additional information for Laboratorio Clinico San Antonio, a provider established in San Sebastian, Puerto Rico operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1710176177 assigned on October 2007. The practitioner's primary taxonomy code is 291U00000X with license number 193 (PR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Maribel Gonzalez M.t. (Owner)

NPI
1710176177 Verify this NPI
Provider Name
LABORATORIO CLINICO SAN ANTONIO
Entity Type
Organization
Location Address
1488 AVE EMERITO ESTRADA RIVERA SAN SEBASTIAN, PR 00685
Location Phone
(787) 896-1076
Location Fax
(787) 896-1076
Mailing Address
PO BOX 2003 SAN SEBASTIAN, PR 00685
Mailing Phone
(787) 896-1076
Mailing Fax
(787) 896-1076
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2007
Last Update Date
02-08-2016
Code Navigator

Establishments like Laboratorio Clinico San Antonio are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
193
License State
PR
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIBEL GONZALEZ M.T.

Authorized Official Title
OWNER
Authorized Official Phone
(787) 896-1076

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Y17691MEDICARE UPIN (02) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
40D0662395
Facility Type
Independent
Certificate Effective Date
May 28, 2026
Certificate Expiration Date
May 27, 2028
Laboratory Director
MRS. MARIBEL GONZALEZ
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Laboratorio Clinico San Antonio after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for LABORATORIO CLINICO SAN ANTONIO

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist/Technologist, Pathology (Medical Technologist)
1488 AVE EMERITO ESTRADA RIVERA
SAN SEBASTIAN, PR 00685

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710176177, enumerated as an "organization" on October 22, 2007.

The provider is located at 1488 AVE EMERITO ESTRADA RIVERA SAN SEBASTIAN, PR 00685 and the phone number is (787) 896-1076.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.