41D0907255 CLIA NUMBER - BAYSIDE ENDOSCOPY CENTER INC

Laboratory Demographics

  • CLIA Code: 41D0907255
  • Facility Name: BAYSIDE ENDOSCOPY CENTER INC
  • Facility Address: 33 STANIFORD STREET FIRST FLOOR
    PROVIDENCE, RI
    ZIP 02905
  • Facility Phone: 401 274-1810
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NICHOLAS CALIFANO MD
  • NPI Number: 1720085657
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0907255
LAB Type Ambulatory Surgery Center
Facility Name BAYSIDE ENDOSCOPY CENTER INC
Street 33 STANIFORD STREET FIRST FLOOR
City PROVIDENCE
State RI
ZIP 02905
Phone 401 274-1810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Ambulatory Surgery Center
Lab Director NICHOLAS CALIFANO MD

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This page was last updated on: 6/4/2025