41D0083683 CLIA NUMBER - TOCKWOTTON HOME

Laboratory Demographics

  • CLIA Code: 41D0083683
  • Facility Name: TOCKWOTTON HOME
  • Facility Address: 500 WATERFRONT DRIVE
    EAST PROVIDENCE, RI
    ZIP 02914
  • Facility Phone: 401 272-5280
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA JOHNSON RN
  • NPI Number: 1366561631
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0083683
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TOCKWOTTON HOME
Street 500 WATERFRONT DRIVE
City EAST PROVIDENCE
State RI
ZIP 02914
Phone 401 272-5280
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 DEBRA JOHNSON RN

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