41D0973532 CLIA NUMBER - 10 OLD DOMINION OPERATIONS, LLC DBA CHAPEL HILL SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 41D0973532
  • Facility Name: 10 OLD DOMINION OPERATIONS, LLC DBA CHAPEL HILL SENIOR LIVING
  • Facility Address: 10 OLD DIAMOND HILL RD
    CUMBERLAND, RI
    ZIP 02864
  • Facility Phone: 401 333-3393
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: COURTNEY A. FISHER
  • NPI Number: 1679132252
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D0973532
LAB Type Assisted Living Facility
Facility Name 10 OLD DOMINION OPERATIONS, LLC DBA CHAPEL HILL SENIOR LIVING
Street 10 OLD DIAMOND HILL RD
City CUMBERLAND
State RI
ZIP 02864
Phone 401 333-3393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Assisted Living Facility
Lab Director COURTNEY A. FISHER

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