41D0981156 CLIA NUMBER - WELLNESS COMPANY,THE

Laboratory Demographics

  • CLIA Code: 41D0981156
  • Facility Name: WELLNESS COMPANY,THE
  • Facility Address: 132 GEORGE COHAN BLVD
    PROVIDENCE, RI
    ZIP 02903
  • Facility Phone: 401 461-0662
  • Facility Type: Other - OFFICE
  • Facility Type: Waiver
  • Lab Director: MEGAN RADEBACH
  • NPI Number: 1710933072
  • Taxonomy: 261QC1800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D0981156
LAB Type Other - OFFICE
Facility Name WELLNESS COMPANY,THE
Street 132 GEORGE COHAN BLVD
City PROVIDENCE
State RI
ZIP 02903
Phone 401 461-0662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Other - OFFICE
Lab Director MEGAN RADEBACH

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