41D0713389 CLIA NUMBER - FRANK P MAGGIACOMO DO

Laboratory Demographics

  • CLIA Code: 41D0713389
  • Facility Name: FRANK P MAGGIACOMO DO
  • Facility Address: 1681 CRANSTON ST STE D
    CRANSTON, RI
    ZIP 02920
  • Facility Phone: 401 946-8446
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRANK P. MAGGIACOMO DO
  • NPI Number: 1629075981
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0713389
LAB Type Physician Office
Facility Name FRANK P MAGGIACOMO DO
Street 1681 CRANSTON ST STE D
City CRANSTON
State RI
ZIP 02920
Phone 401 946-8446
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 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director FRANK P. MAGGIACOMO DO

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