41D2001270 CLIA NUMBER - RICHARD A MOORE

Laboratory Demographics

  • CLIA Code: 41D2001270
  • Facility Name: RICHARD A MOORE
  • Facility Address: 148 WEST RIVER STREET SUITE 22B
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 572-3887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD A. MOORE
  • NPI Number: 1700309754
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 41D2001270
LAB Type Physician Office
Facility Name RICHARD A MOORE
Street 148 WEST RIVER STREET SUITE 22B
City NORTH PROVIDENCE
State RI
ZIP 02904
Phone 401 572-3887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director DR. RICHARD A. MOORE

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