41D0083868 CLIA NUMBER - EAST SIDE CLINICAL LABORATORY

Laboratory Demographics

  • CLIA Code: 41D0083868
  • Facility Name: EAST SIDE CLINICAL LABORATORY
  • Facility Address: 10 RISHO AVENUE
    EAST PROVIDENCE, RI
    ZIP 02914
  • Facility Phone: 401 455-8400
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. WALTHER M. PFEIFER
  • NPI Number: 1407079643
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 41D0083868
LAB Type Independent
Facility Name EAST SIDE CLINICAL LABORATORY
Street 10 RISHO AVENUE
City EAST PROVIDENCE
State RI
ZIP 02914
Phone 401 455-8400
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 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Independent
Lab Director DR. WALTHER M. PFEIFER

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