41D2022360 CLIA NUMBER - JAMIEL J AMBRAD, MD

Laboratory Demographics

  • CLIA Code: 41D2022360
  • Facility Name: JAMIEL J AMBRAD, MD
  • Facility Address: 730 KINGSTOWN ROAD UNIT B5
    WAKEFIELD, RI
    ZIP 02879
  • Facility Phone: 401 258-5935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMIEL J. AMBRAD MD
  • NPI Number: 1720076011
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D2022360
LAB Type Physician Office
Facility Name JAMIEL J AMBRAD, MD
Street 730 KINGSTOWN ROAD UNIT B5
City WAKEFIELD
State RI
ZIP 02879
Phone 401 258-5935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director DR. JAMIEL J. AMBRAD MD

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