41D2018811 CLIA NUMBER - MOHAMED AZZOUZ MD

Laboratory Demographics

  • CLIA Code: 41D2018811
  • Facility Name: MOHAMED AZZOUZ MD
  • Facility Address: 215 TOLLGATE ROAD SUITE 201
    WARWICK, RI
    ZIP 02886
  • Facility Phone: 401 739-7345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MOHAMED AZZOUZ MD
  • NPI Number: 1760488506
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D2018811
LAB Type Physician Office
Facility Name MOHAMED AZZOUZ MD
Street 215 TOLLGATE ROAD SUITE 201
City WARWICK
State RI
ZIP 02886
Phone 401 739-7345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director DR. MOHAMED AZZOUZ MD

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This page was last updated on: 6/4/2025