41D0663337 CLIA NUMBER - 660 COMMONWEALTH AVENUE OPERATIONS LLC (KENT REGENCY)

Laboratory Demographics

  • CLIA Code: 41D0663337
  • Facility Name: 660 COMMONWEALTH AVENUE OPERATIONS LLC (KENT REGENCY)
  • Facility Address: 660 COMMONWEALTH AVENUE
    WARWICK, RI
    ZIP 02886
  • Facility Phone: 401 739-4241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GERALDINA KICA
  • NPI Number: 1790967529
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0663337
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 660 COMMONWEALTH AVENUE OPERATIONS LLC (KENT REGENCY)
Street 660 COMMONWEALTH AVENUE
City WARWICK
State RI
ZIP 02886
Phone 401 739-4241
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 GERALDINA KICA

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