LABORATORIO CLINICO SAN FERNANDO
NPI 1790909265
Clinical Medical Laboratory in Fajardo, PR

NPI Status: Active since April 13, 2007

Contact Information

303 GENERAL VALERO AVE
FAJARDO, PR
ZIP 00738
Phone: (787) 885-0813
Fax: (787) 885-0831

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 40D0970455
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 09-25-2025

About LABORATORIO CLINICO SAN FERNANDO

This page provides the complete NPI Profile along with additional information for Laboratorio Clinico San Fernando, a provider established in Fajardo, Puerto Rico operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1790909265 assigned on April 2007. The practitioner's primary taxonomy code is 291U00000X with license number 850 (PR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Laboratorio Clinico San Fernando. The authorized official of this NPI record is Dr. Sara Lopez Md (Director)

NPI
1790909265
Provider Legal Name
LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.
Other Organization Name
LABORATORIO CLINICO SAN FERNANDO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
303 GENERAL VALERO AVE FAJARDO, PR 00738
Location Phone
(787) 885-0813
Location Fax
(787) 885-0831
Mailing Address
210 AVE LAURO PINERO CEIBA, PR 00735
Mailing Phone
(787) 885-0813
Mailing Fax
(787) 885-0831
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-13-2007
Last Update Date
10-25-2007
Code Navigator

Establishments like Laboratorio Clinico San Fernando 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.

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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.
850
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

DR. SARA LOPEZ MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(787) 885-0813

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
38123MEDICARE ID-TYPE UNSPECIFIED (04)PR 

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
40D0970455
Facility Type
Independent
Certificate Effective Date
September 26, 2023
Certificate Expiration Date
September 25, 2025
Laboratory Director
MRS. AMARILIS FIGUEROA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Laboratorio Clinico San Fernando 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 FERNANDO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790909265
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718018018212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 0 + 1 + 8 + 2 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1790909265 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1659477800DR. LIVIA M. BERMUDEZ M.D.
Individual
Internal Medicine (Rheumatology)303 GENERAL VALERO AVE SUITE 202
FAJARDO, PR 00738
(787) 863-8070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790909265, enumerated in the NPI registry as an "organization" on April 13, 2007

The provider is located at 303 General Valero Ave Fajardo, Pr 00738 and the phone number is (787) 885-0813

This medical organization specializes in 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 make sure your health plan is currently accepted.

The provider's CLIA number is 40D0970455 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued 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..

This NPI record was last updated on April 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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