41D0083052 CLIA NUMBER - SOUTH COUNTY PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 41D0083052
  • Facility Name: SOUTH COUNTY PRIMARY CARE INC
  • Facility Address: 360 KINGSTOWN RD
    NARRAGANSETT, RI
    ZIP 02882
  • Facility Phone: 401 789-1086
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK R. DALY MD
  • NPI Number: 1326160102
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 41D0083052
LAB Type Physician Office
Facility Name SOUTH COUNTY PRIMARY CARE INC
Street 360 KINGSTOWN RD
City NARRAGANSETT
State RI
ZIP 02882
Phone 401 789-1086
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director PATRICK R. DALY MD

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