41D0892960 CLIA NUMBER - ATMED TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 41D0892960
  • Facility Name: ATMED TREATMENT CENTER
  • Facility Address: 1524 ATWOOD AVENUE SUITE 122
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 273-9400
  • Facility Type: Other - URGENT CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: WILFREDO CANCHIS
  • NPI Number: 1558490151
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0892960
LAB Type Other - URGENT CARE FACILITY
Facility Name ATMED TREATMENT CENTER
Street 1524 ATWOOD AVENUE SUITE 122
City JOHNSTON
State RI
ZIP 02919
Phone 401 273-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Other - URGENT CARE FACILITY
Lab Director WILFREDO CANCHIS

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