41D0993921 CLIA NUMBER - RHODE ISLAND FREE CLINIC

Laboratory Demographics

  • CLIA Code: 41D0993921
  • Facility Name: RHODE ISLAND FREE CLINIC
  • Facility Address: 655 BROAD ST
    PROVIDENCE, RI
    ZIP 02907
  • Facility Phone: 401 274-6347
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JESSICA EAGLES
  • NPI Number: 1730400250
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 41D0993921
LAB Type Community Clinic
Facility Name RHODE ISLAND FREE CLINIC
Street 655 BROAD ST
City PROVIDENCE
State RI
ZIP 02907
Phone 401 274-6347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Community Clinic
Lab Director JESSICA EAGLES

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