41D0663616 CLIA NUMBER - CEDAR CREST NURSING CENTRE

Laboratory Demographics

  • CLIA Code: 41D0663616
  • Facility Name: CEDAR CREST NURSING CENTRE
  • Facility Address: 125 SCITUATE AVENUE
    CRANSTON, RI
    ZIP 02921
  • Facility Phone: 401 944-8500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOAN E. HUPF
  • NPI Number: 1417954967
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0663616
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CEDAR CREST NURSING CENTRE
Street 125 SCITUATE AVENUE
City CRANSTON
State RI
ZIP 02921
Phone 401 944-8500
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 JOAN E. HUPF

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