41D1070544 CLIA NUMBER - EAST BAY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 41D1070544
  • Facility Name: EAST BAY ENDOSCOPY CENTER
  • Facility Address: 109 CLOCK TOWER SQUARE 2ND FLOOR
    PORTSMOUTH, RI
    ZIP 02871
  • Facility Phone: 401 293-5400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KATHRYN E. ABIRI RN
  • NPI Number: 1235348335
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D1070544
LAB Type Ambulatory Surgery Center
Facility Name EAST BAY ENDOSCOPY CENTER
Street 109 CLOCK TOWER SQUARE 2ND FLOOR
City PORTSMOUTH
State RI
ZIP 02871
Phone 401 293-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Ambulatory Surgery Center
Lab Director KATHRYN E. ABIRI RN

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