41D0084597 CLIA NUMBER - CEDAR HAVEN OPERATIONS, LLC DBA LAKE FOREST HEALTH & REHABILITATION, LLC

Laboratory Demographics

  • CLIA Code: 41D0084597
  • Facility Name: CEDAR HAVEN OPERATIONS, LLC DBA LAKE FOREST HEALTH & REHABILITATION, LLC
  • Facility Address: 180 LOG RD
    SMITHFIELD, RI
    ZIP 02917
  • Facility Phone: 401 231-7016
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LINDA WHEELER-OMIUNU
  • NPI Number: 1649273830
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0084597
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CEDAR HAVEN OPERATIONS, LLC DBA LAKE FOREST HEALTH & REHABILITATION, LLC
Street 180 LOG RD
City SMITHFIELD
State RI
ZIP 02917
Phone 401 231-7016
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 LINDA WHEELER-OMIUNU

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