41D0723993 CLIA NUMBER - PAWTUCKET FALLS

Laboratory Demographics

  • CLIA Code: 41D0723993
  • Facility Name: PAWTUCKET FALLS
  • Facility Address: 70 GILL AVENUE
    PAWTUCKET, RI
    ZIP 02861
  • Facility Phone: 401 722-7900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WALTHER PFEIFER
  • NPI Number: 1285242610
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D0723993
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PAWTUCKET FALLS
Street 70 GILL AVENUE
City PAWTUCKET
State RI
ZIP 02861
Phone 401 722-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WALTHER PFEIFER

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