41D0681977 CLIA NUMBER - TAVARES PEDIATRIC CENTER

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CLIA Record

Field Name Field Value
CLIA Number 41D0681977
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TAVARES PEDIATRIC CENTER
Street 101 PLAIN ST
City PROVIDENCE
State RI
ZIP 02903
Phone 401 272-7127
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 ALICE T. TURNER

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