41D1097479 CLIA NUMBER - DERMATOLOGY PROFESSIONALS, AP

Laboratory Demographics

  • CLIA Code: 41D1097479
  • Facility Name: DERMATOLOGY PROFESSIONALS, AP
  • Facility Address: 1672 SOUTH COUNTY TRAIL SUITE 101
    EAST GREENWICH, RI
    ZIP 02818
  • Facility Phone: 401 885-6647
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: NATHANIEL J. JELLINEK
  • NPI Number: 1902040835
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D1097479
LAB Type Physician Office
Facility Name DERMATOLOGY PROFESSIONALS, AP
Street 1672 SOUTH COUNTY TRAIL SUITE 101
City EAST GREENWICH
State RI
ZIP 02818
Phone 401 885-6647
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director NATHANIEL J. JELLINEK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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