41D1068181 CLIA NUMBER - SUMMER VILLA

Laboratory Demographics

  • CLIA Code: 41D1068181
  • Facility Name: SUMMER VILLA
  • Facility Address: 51 LAUREL AVENUE
    COVENTRY, RI
    ZIP 02816
  • Facility Phone: 401 828-8280
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MICHELLE PIANKA
  • NPI Number: 1659591261
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D1068181
LAB Type Other
Facility Name SUMMER VILLA
Street 51 LAUREL AVENUE
City COVENTRY
State RI
ZIP 02816
Phone 401 828-8280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Other
Lab Director MICHELLE PIANKA

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