41D0908213 CLIA NUMBER - UNIVERSITY FAMILY MEDICINE INC

Laboratory Demographics

  • CLIA Code: 41D0908213
  • Facility Name: UNIVERSITY FAMILY MEDICINE INC
  • Facility Address: 1351 SOUTH COUNTY TRAIL SUITE 301
    EAST GREENWICH, RI
    ZIP 02818
  • Facility Phone: 401 398-0860
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PIERRE MANZO
  • NPI Number: 1093889214
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0908213
LAB Type Physician Office
Facility Name UNIVERSITY FAMILY MEDICINE INC
Street 1351 SOUTH COUNTY TRAIL SUITE 301
City EAST GREENWICH
State RI
ZIP 02818
Phone 401 398-0860
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 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director PIERRE MANZO

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