41D1068182 CLIA NUMBER - AUTUMN VILLA ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 41D1068182
  • Facility Name: AUTUMN VILLA ASSISTED LIVING
  • Facility Address: 3579 DIAMOND HILL ROAD
    CUMBERLAND, RI
    ZIP 02864
  • Facility Phone: 401 333-5050
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARCIA L. DUROCHER
  • NPI Number: 1326267063
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D1068182
LAB Type Other
Facility Name AUTUMN VILLA ASSISTED LIVING
Street 3579 DIAMOND HILL ROAD
City CUMBERLAND
State RI
ZIP 02864
Phone 401 333-5050
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 MARCIA L. DUROCHER

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