41D0902996 CLIA NUMBER - BROWN DERMATOLOGY, INC

Laboratory Demographics

  • CLIA Code: 41D0902996
  • Facility Name: BROWN DERMATOLOGY, INC
  • Facility Address: 110 ELM STREET
    PROVIDENCE, RI
    ZIP 02903
  • Facility Phone: 401 444-8511
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: LESLIE ROBINSON-BOSTOM
  • NPI Number: 1730538026
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 41D0902996
LAB Type Independent
Facility Name BROWN DERMATOLOGY, INC
Street 110 ELM STREET
City PROVIDENCE
State RI
ZIP 02903
Phone 401 444-8511
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Independent
Lab Director LESLIE ROBINSON-BOSTOM

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