41D1004373 CLIA NUMBER - ARCHES MEDICAL - COVENTRY PRIMARY CARE ON RESERVOIR

Laboratory Demographics

  • CLIA Code: 41D1004373
  • Facility Name: ARCHES MEDICAL - COVENTRY PRIMARY CARE ON RESERVOIR
  • Facility Address: 1620 NOOSENECK HILL RD
    COVENTRY, RI
    ZIP 02816
  • Facility Phone: 401 434-3350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD B. HEBB
  • NPI Number: 1659418671
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D1004373
LAB Type Physician Office
Facility Name ARCHES MEDICAL - COVENTRY PRIMARY CARE ON RESERVOIR
Street 1620 NOOSENECK HILL RD
City COVENTRY
State RI
ZIP 02816
Phone 401 434-3350
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 Physician Office
Lab Director DONALD B. HEBB

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