41D2087494 CLIA NUMBER - PPC, INC

Laboratory Demographics

  • CLIA Code: 41D2087494
  • Facility Name: PPC, INC
  • Facility Address: 910 DOUGLAS PIKE
    SMITHFIELD, RI
    ZIP 02917
  • Facility Phone: 401 427-6727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHISTOPHER OTTIANO MD
  • NPI Number: 1497158844
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 41D2087494
LAB Type Physician Office
Facility Name PPC, INC
Street 910 DOUGLAS PIKE
City SMITHFIELD
State RI
ZIP 02917
Phone 401 427-6727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director CHISTOPHER OTTIANO MD

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