41D0083074 CLIA NUMBER - 642 METACOM AVENUE OPERATIONS LLC (WARREN SKILLED NURSING)

Laboratory Demographics

  • CLIA Code: 41D0083074
  • Facility Name: 642 METACOM AVENUE OPERATIONS LLC (WARREN SKILLED NURSING)
  • Facility Address: 642 METACOM AVENUE
    WARREN, RI
    ZIP 02885
  • Facility Phone: 401 245-2860
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARGUERITE M. MORRIS
  • NPI Number: 1265683874
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0083074
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 642 METACOM AVENUE OPERATIONS LLC (WARREN SKILLED NURSING)
Street 642 METACOM AVENUE
City WARREN
State RI
ZIP 02885
Phone 401 245-2860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARGUERITE M. MORRIS

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