41D0084194 CLIA NUMBER - BANNISTER CENTER FOR REHABILITATION AND HEALTH CARE

Laboratory Demographics

  • CLIA Code: 41D0084194
  • Facility Name: BANNISTER CENTER FOR REHABILITATION AND HEALTH CARE
  • Facility Address: 135 DODGE STREET
    PROVIDENCE, RI
    ZIP 02907
  • Facility Phone: 401 521-9600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BELINDA MONTESI
  • NPI Number: 1427177005
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D0084194
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BANNISTER CENTER FOR REHABILITATION AND HEALTH CARE
Street 135 DODGE STREET
City PROVIDENCE
State RI
ZIP 02907
Phone 401 521-9600
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 BELINDA MONTESI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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