41D2025154 CLIA NUMBER - POCASSET BAY AL OPERATOR LLC

Laboratory Demographics

  • CLIA Code: 41D2025154
  • Facility Name: POCASSET BAY AL OPERATOR LLC
  • Facility Address: 12 OLD POCASSET LANE
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 421-6610
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ROBIN D. PIMENTAL
  • NPI Number: 1811460835
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D2025154
LAB Type Assisted Living Facility
Facility Name POCASSET BAY AL OPERATOR LLC
Street 12 OLD POCASSET LANE
City JOHNSTON
State RI
ZIP 02919
Phone 401 421-6610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2023
Certificate Expiration Date 6/1/2025
Facility Type Assisted Living Facility
Lab Director ROBIN D. PIMENTAL

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This page was last updated on: 3/20/2025