41D1096422 CLIA NUMBER - MARC WEINBERG MD PERSONAL HEALTH CARE

Laboratory Demographics

  • CLIA Code: 41D1096422
  • Facility Name: MARC WEINBERG MD PERSONAL HEALTH CARE
  • Facility Address: ONE RANDALL SQUARE SUITE 304
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 228-3000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARC S. WEINBERG MD
  • NPI Number: 1558364604
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D1096422
LAB Type Physician Office
Facility Name MARC WEINBERG MD PERSONAL HEALTH CARE
Street ONE RANDALL SQUARE SUITE 304
City PROVIDENCE
State RI
ZIP 02904
Phone 401 228-3000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director MARC S. WEINBERG MD

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