41D2001009 CLIA NUMBER - CUMBERLAND PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 41D2001009
  • Facility Name: CUMBERLAND PRIMARY CARE INC
  • Facility Address: 2138 MENDON ROAD SUITE 101A
    CUMBERLAND, RI
    ZIP 02864
  • Facility Phone: 401 333-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AVANISH MEHTA
  • NPI Number: 1396208435
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 41D2001009
LAB Type Physician Office
Facility Name CUMBERLAND PRIMARY CARE INC
Street 2138 MENDON ROAD SUITE 101A
City CUMBERLAND
State RI
ZIP 02864
Phone 401 333-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director AVANISH MEHTA

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