41D0084601 CLIA NUMBER - TRI-COUNTY COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 41D0084601
  • Facility Name: TRI-COUNTY COMMUNITY HEALTH CENTER
  • Facility Address: 1126 HARTFORD AVENUE SUITE 100
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 519-1900
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: WILFREDO GIORDANO-PEREZ
  • NPI Number: 1790219608
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 41D0084601
LAB Type Federally Qualified Health Center
Facility Name TRI-COUNTY COMMUNITY HEALTH CENTER
Street 1126 HARTFORD AVENUE SUITE 100
City JOHNSTON
State RI
ZIP 02919
Phone 401 519-1900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Federally Qualified Health Center
Lab Director WILFREDO GIORDANO-PEREZ

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