41D0856448 CLIA NUMBER - ANGELO DICENSO MD

Laboratory Demographics

  • CLIA Code: 41D0856448
  • Facility Name: ANGELO DICENSO MD
  • Facility Address: 1524 ATWOOD AVE SUITE 445
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 453-2190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELO DICENSO
  • NPI Number: 1952395022
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0856448
LAB Type Physician Office
Facility Name ANGELO DICENSO MD
Street 1524 ATWOOD AVE SUITE 445
City JOHNSTON
State RI
ZIP 02919
Phone 401 453-2190
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 Physician Office
Lab Director ANGELO DICENSO

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