41D0713670 CLIA NUMBER - EAST BAY FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 41D0713670
  • Facility Name: EAST BAY FAMILY HEALTH
  • Facility Address: 100 BULLOCKS POINT AVENUE
    RIVERSIDE, RI
    ZIP 02915
  • Facility Phone: 401 437-1008
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SARAH J. FESSLER MD
  • NPI Number: 1609239920
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D0713670
LAB Type Federally Qualified Health Center
Facility Name EAST BAY FAMILY HEALTH
Street 100 BULLOCKS POINT AVENUE
City RIVERSIDE
State RI
ZIP 02915
Phone 401 437-1008
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Federally Qualified Health Center
Lab Director SARAH J. FESSLER MD

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