41D0708580 CLIA NUMBER - HYPERTENSION + NEPHROLOGY INC

Laboratory Demographics

  • CLIA Code: 41D0708580
  • Facility Name: HYPERTENSION + NEPHROLOGY INC
  • Facility Address: 1076 NORTH MAIN ST
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 861-7711
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFFREY D. CLEMENT MD
  • NPI Number: 1639277072
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 41D0708580
LAB Type Physician Office
Facility Name HYPERTENSION + NEPHROLOGY INC
Street 1076 NORTH MAIN ST
City PROVIDENCE
State RI
ZIP 02904
Phone 401 861-7711
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director JEFFREY D. CLEMENT MD

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