41D0952693 CLIA NUMBER - BLACKSTONE VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 41D0952693
  • Facility Name: BLACKSTONE VALLEY PEDIATRICS
  • Facility Address: 2 MEEHAN LANE
    CUMBERLAND, RI
    ZIP 02864
  • Facility Phone: 401 658-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAUREEN A. CROTTY
  • NPI Number: 1366046583
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 41D0952693
LAB Type Physician Office
Facility Name BLACKSTONE VALLEY PEDIATRICS
Street 2 MEEHAN LANE
City CUMBERLAND
State RI
ZIP 02864
Phone 401 658-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director MAUREEN A. CROTTY

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