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41D0002587 CLIA NUMBER - BROWN UNIVERSITY HEALTH SERVICES

Laboratory Demographics

CLIA Number: 41D0002587

Facility Name: BROWN UNIVERSITY HEALTH SERVICES

Facility Address:
450 BROOK STREET, BOX 1928
PROVIDENCE, RI
ZIP 02912
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Facility Phone Number: 401 863-7899

Facility Type: School/Student Health Service

Certificate Type: Microscopy
NPI Number: 1750442059

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 41D0002587
LAB Type School/Student Health Service
Facility Name BROWN UNIVERSITY HEALTH SERVICES
Street 450 BROOK STREET, BOX 1928
City PROVIDENCE
State RI
ZIP 02912
Phone 401 863-7899
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024