41D0869663 CLIA NUMBER - EAST BAY COMMUNITY ACTION PROGRAM

Laboratory Demographics

  • CLIA Code: 41D0869663
  • Facility Name: EAST BAY COMMUNITY ACTION PROGRAM
  • Facility Address: 6 JOHN H CHAFEE BOULEVARD
    NEWPORT, RI
    ZIP 02840
  • Facility Phone: 401 848-2160
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: LAURA VOLLER
  • NPI Number: 1861439705
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0869663
LAB Type Federally Qualified Health Center
Facility Name EAST BAY COMMUNITY ACTION PROGRAM
Street 6 JOHN H CHAFEE BOULEVARD
City NEWPORT
State RI
ZIP 02840
Phone 401 848-2160
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Federally Qualified Health Center
Lab Director LAURA VOLLER

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