41D1023663 CLIA NUMBER - AIDS CARE OCEAN STATE

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CLIA Record

Field Name Field Value
CLIA Number 41D1023663
LAB Type Mobile Laboratory
Facility Name AIDS CARE OCEAN STATE
Street 18 PARKIS AVENUE
City PROVIDENCE
State RI
ZIP 02907
Phone 401 521-3603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Mobile Laboratory
Lab Director PAUL FITZGERALD

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