41D2017810 CLIA NUMBER - HOME CARE ADVANTAGE

Laboratory Demographics

  • CLIA Code: 41D2017810
  • Facility Name: HOME CARE ADVANTAGE
  • Facility Address: 165 BURNSIDE STREET
    CRANSTON, RI
    ZIP 02910
  • Facility Phone: 401 781-9544
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ELAINE RILEY
  • NPI Number: 1104948439
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 41D2017810
LAB Type Home Health Agency
Facility Name HOME CARE ADVANTAGE
Street 165 BURNSIDE STREET
City CRANSTON
State RI
ZIP 02910
Phone 401 781-9544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Home Health Agency
Lab Director ELAINE RILEY

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