41D1036535 CLIA NUMBER - KINGSTOWN PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 41D1036535
  • Facility Name: KINGSTOWN PEDIATRICS INC
  • Facility Address: 426 SCRABBLETOWN ROAD SUITE F
    NORTH KINGSTOWN, RI
    ZIP 02852
  • Facility Phone: 401 295-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLLEEN A. POWERS MD
  • NPI Number: 1912030792
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 41D1036535
LAB Type Physician Office
Facility Name KINGSTOWN PEDIATRICS INC
Street 426 SCRABBLETOWN ROAD SUITE F
City NORTH KINGSTOWN
State RI
ZIP 02852
Phone 401 295-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director COLLEEN A. POWERS MD

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