41D0658492 CLIA NUMBER - GOLDEN CREST NURSING CENTRE

Laboratory Demographics

  • CLIA Code: 41D0658492
  • Facility Name: GOLDEN CREST NURSING CENTRE
  • Facility Address: 100 SMITHFIELD RD
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 353-1710
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN A. STOUKIDES
  • NPI Number: 1831185198
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0658492
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOLDEN CREST NURSING CENTRE
Street 100 SMITHFIELD RD
City NORTH PROVIDENCE
State RI
ZIP 02904
Phone 401 353-1710
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 JOHN A. STOUKIDES

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