41D0084371 CLIA NUMBER - FAMILY HEALTH & SPORTS MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 41D0084371
  • Facility Name: FAMILY HEALTH & SPORTS MEDICINE LLC
  • Facility Address: 65 SOCKANOSSET CROSS RD SUITE 301
    CRANSTON, RI
    ZIP 02920
  • Facility Phone: 401 943-6910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK ROSENBERG MD
  • NPI Number: 1366441719
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0084371
LAB Type Physician Office
Facility Name FAMILY HEALTH & SPORTS MEDICINE LLC
Street 65 SOCKANOSSET CROSS RD SUITE 301
City CRANSTON
State RI
ZIP 02920
Phone 401 943-6910
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 Physician Office
Lab Director MARK ROSENBERG MD

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