41D0904299 CLIA NUMBER - LYDIA L KLUFAS MD

Laboratory Demographics

  • CLIA Code: 41D0904299
  • Facility Name: LYDIA L KLUFAS MD
  • Facility Address: 525 BROAD STREET
    CUMBERLAND, RI
    ZIP 02864
  • Facility Phone: 401 726-1048
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LYDIA L. KLUFAS MD
  • NPI Number: 1952406951
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 41D0904299
LAB Type Physician Office
Facility Name LYDIA L KLUFAS MD
Street 525 BROAD STREET
City CUMBERLAND
State RI
ZIP 02864
Phone 401 726-1048
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 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director LYDIA L. KLUFAS MD

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