41D0663777 CLIA NUMBER - ROGER WILLIAMS MEDICAL CENTER PATHOLOGY & LABORATORY MEDICINE

Laboratory Demographics

  • CLIA Code: 41D0663777
  • Facility Name: ROGER WILLIAMS MEDICAL CENTER PATHOLOGY & LABORATORY MEDICINE
  • Facility Address: 825 CHALKSTONE AVE
    PROVIDENCE, RI
    ZIP 02908
  • Facility Phone: 401 456-2167
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. CATHERINE M. BREEN
  • NPI Number: 1013078450
  • Taxonomy: 2085R0001X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D0663777
LAB Type Hospital
Facility Name ROGER WILLIAMS MEDICAL CENTER PATHOLOGY & LABORATORY MEDICINE
Street 825 CHALKSTONE AVE
City PROVIDENCE
State RI
ZIP 02908
Phone 401 456-2167
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. CATHERINE M. BREEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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