41D0718787 CLIA NUMBER - CHAD P NEVOLA MD, INC

Laboratory Demographics

  • CLIA Code: 41D0718787
  • Facility Name: CHAD P NEVOLA MD, INC
  • Facility Address: 120 DUDLEY ST #105
    PROVIDENCE, RI
    ZIP 02905
  • Facility Phone: 401 273-9555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAD P. NEVOLA MD
  • NPI Number: 1487723458
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D0718787
LAB Type Physician Office
Facility Name CHAD P NEVOLA MD, INC
Street 120 DUDLEY ST #105
City PROVIDENCE
State RI
ZIP 02905
Phone 401 273-9555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director CHAD P. NEVOLA 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: 3/20/2025