41D2011107 CLIA NUMBER - DEPENDABLE HEALTHCARE SERVICES

Laboratory Demographics

  • CLIA Code: 41D2011107
  • Facility Name: DEPENDABLE HEALTHCARE SERVICES
  • Facility Address: 1171 MAIN STREET SUITE B
    WYOMING, RI
    ZIP 02898
  • Facility Phone: 401 491-9003
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JACOB EPHRAM
  • NPI Number: 1821325366
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 41D2011107
LAB Type Home Health Agency
Facility Name DEPENDABLE HEALTHCARE SERVICES
Street 1171 MAIN STREET SUITE B
City WYOMING
State RI
ZIP 02898
Phone 401 491-9003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Home Health Agency
Lab Director JACOB EPHRAM

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