01D0954287 CLIA NUMBER - LUCIANO SZTULMAN MD

Laboratory Demographics

  • CLIA Code: 01D0954287
  • Facility Name: LUCIANO SZTULMAN MD
  • Facility Address: 1 RANDALL SQUARE SUITE 401
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 521-1007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUCIANO SZTULMAN
  • NPI Number: 1669492070
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D0954287
LAB Type Physician Office
Facility Name LUCIANO SZTULMAN MD
Street 1 RANDALL SQUARE SUITE 401
City PROVIDENCE
State RI
ZIP 02904
Phone 401 521-1007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director LUCIANO SZTULMAN

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This page was last updated on: 9/29/2025