41D1071319 CLIA NUMBER - POLLY E LEONARD DO LTD

Laboratory Demographics

  • CLIA Code: 41D1071319
  • Facility Name: POLLY E LEONARD DO LTD
  • Facility Address: 390 TOLL GATE ROAD SUITE 203
    WARWICK, RI
    ZIP 02886
  • Facility Phone: 401 732-2031
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: POLLY E. LEONARD
  • NPI Number: 1801893367
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2023
Certificate Expiration Date 7/23/2025
Facility Type Physician Office
Lab Director POLLY E. LEONARD

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This page was last updated on: 6/4/2025