41D0911510 CLIA NUMBER - EGP, INC

Laboratory Demographics

  • CLIA Code: 41D0911510
  • Facility Name: EGP, INC
  • Facility Address: 1377 SOUTH COUNTY TRAIL
    EAST GREENWICH, RI
    ZIP 02818
  • Facility Phone: 401 884-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN MAULE
  • NPI Number: 1184713646
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 41D0911510
LAB Type Physician Office
Facility Name EGP, INC
Street 1377 SOUTH COUNTY TRAIL
City EAST GREENWICH
State RI
ZIP 02818
Phone 401 884-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director KAREN MAULE

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