41D0980005 CLIA NUMBER - KRISTEN DIMARCO DO LTD

Laboratory Demographics

CLIA Number: 41D0980005

Facility Name: KRISTEN DIMARCO DO LTD

Facility Address:
215 TOLLGATE RD SUITE 306
WARWICK, RI
ZIP 02886
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Facility Phone Number: 401 738-6565

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487725743

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	41D0980005
LAB Type	Physician Office
Facility Name	KRISTEN DIMARCO DO LTD
Street	215 TOLLGATE RD SUITE 306
City	WARWICK
State	RI
ZIP	02886
Phone	401 738-6565
CertificateType	4
CertificateEffectiveDate	11/9/2022
CertificateExpirationDate	11/8/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024