41D2041523 CLIA NUMBER - SKINPROS, LLC

Laboratory Demographics

  • CLIA Code: 41D2041523
  • Facility Name: SKINPROS, LLC
  • Facility Address: 1287 NORTH MAIN STREET
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 272-2724
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANTONIO P. CRUZ
  • NPI Number: 1881966901
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 41D2041523
LAB Type Physician Office
Facility Name SKINPROS, LLC
Street 1287 NORTH MAIN STREET
City PROVIDENCE
State RI
ZIP 02904
Phone 401 272-2724
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director ANTONIO P. CRUZ

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