41D0884005 CLIA NUMBER - LINCOLNWOOD OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 41D0884005
  • Facility Name: LINCOLNWOOD OPERATOR, LLC
  • Facility Address: 610 SMITHFIELD ROAD
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 353-6300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NARESH K. DASARI
  • NPI Number: 1053925024
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0884005
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LINCOLNWOOD OPERATOR, LLC
Street 610 SMITHFIELD ROAD
City NORTH PROVIDENCE
State RI
ZIP 02904
Phone 401 353-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NARESH K. DASARI

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