41D0930413 CLIA NUMBER - NARRAGANSETT INDIAN HEALTH CENTER

Laboratory Demographics

CLIA Number: 41D0930413

Facility Name: NARRAGANSETT INDIAN HEALTH CENTER

Facility Address:
51 OLD MILL RD ADMINISTRATION
CHARLESTOWN, RI
ZIP 02813
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Facility Phone Number: 401 364-1263

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1356505895

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	41D0930413
LAB Type	Federally Qualified Health Center
Facility Name	NARRAGANSETT INDIAN HEALTH CENTER
Street	51 OLD MILL RD ADMINISTRATION
City	CHARLESTOWN
State	RI
ZIP	02813
Phone	401 364-1263
CertificateType	4
CertificateEffectiveDate	5/1/2023
CertificateExpirationDate	4/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024