41D0084510 CLIA NUMBER - WATERVIEW VILLA

Laboratory Demographics

  • CLIA Code: 41D0084510
  • Facility Name: WATERVIEW VILLA
  • Facility Address: 1275 SOUTH BROADWAY
    EAST PROVIDENCE, RI
    ZIP 02914
  • Facility Phone: 401 438-7020
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE NORESCA
  • NPI Number: 1053313791
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0084510
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WATERVIEW VILLA
Street 1275 SOUTH BROADWAY
City EAST PROVIDENCE
State RI
ZIP 02914
Phone 401 438-7020
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 STEPHANIE NORESCA

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