41D0083835 CLIA NUMBER - DRS CONCANNON & VITALE LLC

Laboratory Demographics

  • CLIA Code: 41D0083835
  • Facility Name: DRS CONCANNON & VITALE LLC
  • Facility Address: 1145 RESERVOIR AVENUE SUITE 124
    CRANSTON, RI
    ZIP 02920
  • Facility Phone: 401 943-7337
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: COLLEEN VITALE
  • NPI Number: 1366402018
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 41D0083835
LAB Type Practitioner Other
Facility Name DRS CONCANNON & VITALE LLC
Street 1145 RESERVOIR AVENUE SUITE 124
City CRANSTON
State RI
ZIP 02920
Phone 401 943-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Practitioner Other
Lab Director COLLEEN VITALE

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