41D1004369 CLIA NUMBER - WELLCARE INC

Laboratory Demographics

  • CLIA Code: 41D1004369
  • Facility Name: WELLCARE INC
  • Facility Address: 1524 ATWOOD AVENUE SUITE 434
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 272-8773
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CLAIRE A. NADEAU
  • NPI Number: 1235182783
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 41D1004369
LAB Type Practitioner Other
Facility Name WELLCARE INC
Street 1524 ATWOOD AVENUE SUITE 434
City JOHNSTON
State RI
ZIP 02919
Phone 401 272-8773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Practitioner Other
Lab Director CLAIRE A. NADEAU

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