41D0954555 CLIA NUMBER - DIALYSIS CENTER OF PAWTUCKET

Laboratory Demographics

  • CLIA Code: 41D0954555
  • Facility Name: DIALYSIS CENTER OF PAWTUCKET
  • Facility Address: 201 ARMISTICE BOULEVARD
    PAWTUCKET, RI
    ZIP 02860
  • Facility Phone: 401 722-3313
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES MCCOY MD
  • NPI Number: 1992715817
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0954555
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CENTER OF PAWTUCKET
Street 201 ARMISTICE BOULEVARD
City PAWTUCKET
State RI
ZIP 02860
Phone 401 722-3313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHARLES MCCOY MD

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