41D0721256 CLIA NUMBER - BUTLER HOSPITAL

Laboratory Demographics

  • CLIA Code: 41D0721256
  • Facility Name: BUTLER HOSPITAL
  • Facility Address: 345 BLACKSTONE BOULEVARD
    PROVIDENCE, RI
    ZIP 02906
  • Facility Phone: 401 737-7000
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: C JAMES SUNG MD
  • NPI Number: 1104801349
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 41D0721256
LAB Type Hospital
Facility Name BUTLER HOSPITAL
Street 345 BLACKSTONE BOULEVARD
City PROVIDENCE
State RI
ZIP 02906
Phone 401 737-7000
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 Hospital
Lab Director C JAMES SUNG MD

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