41D2093722 CLIA NUMBER - ANGELS MEDICAL ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 41D2093722
  • Facility Name: ANGELS MEDICAL ASSOCIATES, LLC
  • Facility Address: 1524 ATWOOD AVE SUITE 327
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 383-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: P WILFREDO CANCHIS MD
  • NPI Number: 1922406875
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D2093722
LAB Type Physician Office
Facility Name ANGELS MEDICAL ASSOCIATES, LLC
Street 1524 ATWOOD AVE SUITE 327
City JOHNSTON
State RI
ZIP 02919
Phone 401 383-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director P WILFREDO CANCHIS MD

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