41D2070315 CLIA NUMBER - SOJOURNER HOUSE

Laboratory Demographics

  • CLIA Code: 41D2070315
  • Facility Name: SOJOURNER HOUSE
  • Facility Address: 386 SMITH STREET
    PROVIDENCE, RI
    ZIP 02908
  • Facility Phone: 401 861-6191
  • Facility Type: Other - DOMESTIC VIOLENCE
  • Facility Type: Waiver
  • Lab Director: VANESSA VOLZ
  • NPI Number: 1659726081
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 41D2070315
LAB Type Other - DOMESTIC VIOLENCE
Facility Name SOJOURNER HOUSE
Street 386 SMITH STREET
City PROVIDENCE
State RI
ZIP 02908
Phone 401 861-6191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Other - DOMESTIC VIOLENCE
Lab Director VANESSA VOLZ

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