41D0948101 CLIA NUMBER - DIALYSIS CENTER OF TIVERTON

Laboratory Demographics

  • CLIA Code: 41D0948101
  • Facility Name: DIALYSIS CENTER OF TIVERTON
  • Facility Address: 22 HURST LANE
    TIVERTON, RI
    ZIP 02878
  • Facility Phone: 401 624-4403
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK SISKIND MD
  • NPI Number: 1285745570
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0948101
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CENTER OF TIVERTON
Street 22 HURST LANE
City TIVERTON
State RI
ZIP 02878
Phone 401 624-4403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK SISKIND MD

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