41D0083792 CLIA NUMBER - OUR LADY OF FATIMA HOSPITAL-PATHOLOGY

Laboratory Demographics

  • CLIA Code: 41D0083792
  • Facility Name: OUR LADY OF FATIMA HOSPITAL-PATHOLOGY
  • Facility Address: 200 HIGH SERVICE AVENUE ATTN MARIA TRIVINO ACCTS PAYABLE
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 456-3910
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. CATHERINE M. BREEN
  • NPI Number: 1588089759
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0083792
LAB Type Hospital
Facility Name OUR LADY OF FATIMA HOSPITAL-PATHOLOGY
Street 200 HIGH SERVICE AVENUE ATTN MARIA TRIVINO ACCTS PAYABLE
City NORTH PROVIDENCE
State RI
ZIP 02904
Phone 401 456-3910
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Hospital
Lab Director DR. CATHERINE M. BREEN

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