41D1071319 CLIA NUMBER - POLLY E LEONARD DO LTD

Laboratory Demographics

CLIA Number: 41D1071319

Facility Name: POLLY E LEONARD DO LTD

Facility Address:
390 TOLL GATE ROAD SUITE 203
WARWICK, RI
ZIP 02886
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Facility Phone Number: 401 732-2031

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801893367

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	41D1071319
LAB Type	Physician Office
Facility Name	POLLY E LEONARD DO LTD
Street	390 TOLL GATE ROAD SUITE 203
City	WARWICK
State	RI
ZIP	02886
Phone	401 732-2031
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024