41D1041232 CLIA NUMBER - LEWIS R WEINER MD INC

Laboratory Demographics

  • CLIA Code: 41D1041232
  • Facility Name: LEWIS R WEINER MD INC
  • Facility Address: ONE DAVOL SQUARE
    PROVIDENCE, RI
    ZIP 02906
  • Facility Phone: 401 369-7070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEWIS R. WEINER
  • NPI Number: 1780624601
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D1041232
LAB Type Physician Office
Facility Name LEWIS R WEINER MD INC
Street ONE DAVOL SQUARE
City PROVIDENCE
State RI
ZIP 02906
Phone 401 369-7070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director LEWIS R. WEINER

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