41D0873933 CLIA NUMBER - COMPREHENSIVE COMMUNITY ACTION PROGRAM

Laboratory Demographics

  • CLIA Code: 41D0873933
  • Facility Name: COMPREHENSIVE COMMUNITY ACTION PROGRAM
  • Facility Address: 311 DORIC AVE
    CRANSTON, RI
    ZIP 02920
  • Facility Phone: 401 562-8308
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ELENA M. KWETKOWSKI DO
  • NPI Number: 1659845451
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0873933
LAB Type Federally Qualified Health Center
Facility Name COMPREHENSIVE COMMUNITY ACTION PROGRAM
Street 311 DORIC AVE
City CRANSTON
State RI
ZIP 02920
Phone 401 562-8308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Federally Qualified Health Center
Lab Director ELENA M. KWETKOWSKI DO

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