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41D0084710 CLIA NUMBER - EAST SIDE CLINICAL LABORATORY INC

Laboratory Demographics

CLIA Number: 41D0084710

Facility Name: EAST SIDE CLINICAL LABORATORY INC

Facility Address:
1150 RESERVOIR AVE LL4
CRANSTON, RI
ZIP 02920
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Facility Phone Number: 401 455-8400

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1861404121

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 41D0084710
LAB Type Independent
Facility Name EAST SIDE CLINICAL LABORATORY INC
Street 1150 RESERVOIR AVE LL4
City CRANSTON
State RI
ZIP 02920
Phone 401 455-8400
CertificateType 1
CertificateEffectiveDate 2/10/2024
CertificateExpirationDate 2/9/2026
FacilityType Accreditation

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This page was last updated on: 4/23/2024