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: August 09, 2026.

About Laboratorio Clinico San Antonio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LABORATORIO CLINICO SAN ANTONIO (NPI 1710176177) is a healthcare organization registered as a clinical medical laboratory in San Sebastian, Puerto Rico and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 27, 2028 and lists Maribel Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1710176177
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLABORATORIO CLINICO SAN ANTONIO
Location Address1488 AVE EMERITO ESTRADA RIVERASan Sebastian, PR 00685-3023
Mailing AddressPo Box 2003San Sebastian, PR 00685-8003 · (787) 896-1076 · Fax (787) 896-1076
Fax(787) 896-1076
Organization SubpartNo
Authorized OfficialMaribel GonzalezOwner · (787) 896-1076
Enumeration DateOctober 22, 2007
Last NPPES UpdateFebruary 8, 2016
NPI 1710176177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in PR · 193
Definition
(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.

Other Identifiers 1

Medicare UPINY17691

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 40D0662395

Laboratorio Clinico San Antonio · San Sebastian, PR
Active · expires May 27, 2028
CLIA Number40D0662395
Laboratory TypeIndependent
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorMrs. Maribel Gonzalez
Laboratory Phone(787) 896-1076
Laboratory LocationLaboratorio Clinico San AntonioAvenida Emerito Estrada Rivera #1486, San Sebastian, PR 00685
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laboratorio Clinico San Antonio's NPI number?

The NPI number for Laboratorio Clinico San Antonio is 1710176177. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Laboratorio Clinico San Antonio located?

Laboratorio Clinico San Antonio is located at 1488 Ave Emerito Estrada Rivera, San Sebastian, PR 00685. The listed phone number is (787) 896-1076.

What is Laboratorio Clinico San Antonio's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Laboratorio Clinico San Antonio hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 40D0662395) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laboratorio Clinico San Antonio was last updated on February 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.