41D0083228 CLIA NUMBER - MIDLAND MEDICAL ASSOC

Laboratory Demographics

  • CLIA Code: 41D0083228
  • Facility Name: MIDLAND MEDICAL ASSOC
  • Facility Address: 315 COMMONWEALTH AVE STE A
    WARWICK, RI
    ZIP 02886
  • Facility Phone: 401 463-3380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN BEAUPRE
  • NPI Number: 1407871270
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0083228
LAB Type Physician Office
Facility Name MIDLAND MEDICAL ASSOC
Street 315 COMMONWEALTH AVE STE A
City WARWICK
State RI
ZIP 02886
Phone 401 463-3380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director STEPHEN BEAUPRE

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