41D0716324 CLIA NUMBER - CHARTERCARE HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 41D0716324
  • Facility Name: CHARTERCARE HOME HEALTH SERVICES
  • Facility Address: 50 MAUDE STREET
    PROVIDENCE, RI
    ZIP 02908
  • Facility Phone: 401 456-2273
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAULA K. ROBERGE PT
  • NPI Number: 1629493135
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0716324
LAB Type Home Health Agency
Facility Name CHARTERCARE HOME HEALTH SERVICES
Street 50 MAUDE STREET
City PROVIDENCE
State RI
ZIP 02908
Phone 401 456-2273
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 Home Health Agency
Lab Director PAULA K. ROBERGE PT

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