41D0958605 CLIA NUMBER - ARA-PROVIDENCE DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 41D0958605
  • Facility Name: ARA-PROVIDENCE DIALYSIS LLC
  • Facility Address: 9 PLENTY STREET
    PROVIDENCE, RI
    ZIP 02907
  • Facility Phone: 401 273-4898
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. THURSBY
  • NPI Number: 1376654921
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0958605
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ARA-PROVIDENCE DIALYSIS LLC
Street 9 PLENTY STREET
City PROVIDENCE
State RI
ZIP 02907
Phone 401 273-4898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL A. THURSBY

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