41D0944316 CLIA NUMBER - VMD PRIMARY PROVIDERS OF RHODE ISLAND, PC

Laboratory Demographics

  • CLIA Code: 41D0944316
  • Facility Name: VMD PRIMARY PROVIDERS OF RHODE ISLAND, PC
  • Facility Address: 2 WAKE ROBIN RD STE 103
    LINCOLN, RI
    ZIP 02865
  • Facility Phone: 401 334-3105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY ALLEN
  • NPI Number: 1518944941
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D0944316
LAB Type Physician Office
Facility Name VMD PRIMARY PROVIDERS OF RHODE ISLAND, PC
Street 2 WAKE ROBIN RD STE 103
City LINCOLN
State RI
ZIP 02865
Phone 401 334-3105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director GREGORY ALLEN

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