41D2092436 CLIA NUMBER - GREENWICH MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 41D2092436
  • Facility Name: GREENWICH MEDICAL ASSOCIATES
  • Facility Address: 1350 DIVISION RD STE 203
    WEST WARWICK, RI
    ZIP 02893
  • Facility Phone: 401 886-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHID A. KHAN
  • NPI Number: 1891268819
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 41D2092436
LAB Type Physician Office
Facility Name GREENWICH MEDICAL ASSOCIATES
Street 1350 DIVISION RD STE 203
City WEST WARWICK
State RI
ZIP 02893
Phone 401 886-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director SHAHID A. KHAN

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