41D0926255 CLIA NUMBER - RAJEEV GUPTA MD NORTHERN RI INTERNAL MEDICINE LTD

Laboratory Demographics

  • CLIA Code: 41D0926255
  • Facility Name: RAJEEV GUPTA MD NORTHERN RI INTERNAL MEDICINE LTD
  • Facility Address: 2138 MENDON RD STE 203
    CUMBERLAND, RI
    ZIP 02864
  • Facility Phone: 401 567-0301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJEEV GUPTA
  • NPI Number: 1659358836
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0926255
LAB Type Physician Office
Facility Name RAJEEV GUPTA MD NORTHERN RI INTERNAL MEDICINE LTD
Street 2138 MENDON RD STE 203
City CUMBERLAND
State RI
ZIP 02864
Phone 401 567-0301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director RAJEEV GUPTA

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