41D1080327 CLIA NUMBER - SUMMIT COMMONS REHABILITATION & HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 41D1080327
  • Facility Name: SUMMIT COMMONS REHABILITATION & HEALTH CARE CENTER
  • Facility Address: 99 HILLSIDE AVENUE
    PROVIDENCE, RI
    ZIP 02906
  • Facility Phone: 401 574-4800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DONALD VESPIA
  • NPI Number: 1184892374
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D1080327
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUMMIT COMMONS REHABILITATION & HEALTH CARE CENTER
Street 99 HILLSIDE AVENUE
City PROVIDENCE
State RI
ZIP 02906
Phone 401 574-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DONALD VESPIA

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