41D0725600 CLIA NUMBER - S-H OPCO GREENWICH BAY MANOR, LLC DBA GREENWICH BAY RETIREMENT LIVING

Laboratory Demographics

  • CLIA Code: 41D0725600
  • Facility Name: S-H OPCO GREENWICH BAY MANOR, LLC DBA GREENWICH BAY RETIREMENT LIVING
  • Facility Address: 945 MAIN ST
    EAST GREENWICH, RI
    ZIP 02818
  • Facility Phone: 401 885-3334
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DAWN LINDELOW
  • NPI Number: 1073257184
  • Taxonomy: 2251X0800X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 41D0725600
LAB Type Assisted Living Facility
Facility Name S-H OPCO GREENWICH BAY MANOR, LLC DBA GREENWICH BAY RETIREMENT LIVING
Street 945 MAIN ST
City EAST GREENWICH
State RI
ZIP 02818
Phone 401 885-3334
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 Assisted Living Facility
Lab Director DAWN LINDELOW

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