41D2099634 CLIA NUMBER - THUNDERMIST HEALTH CENTER

Home > CLIA Lookup > 41D2099634

Laboratory Demographics

CLIA Number: 41D2099634

Facility Name: THUNDERMIST HEALTH CENTER

Facility Address:
1 RIVER STREET
WAKEFIELD, RI
ZIP 02879
Get Directions

Facility Phone Number: 401 767-4100

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1700041001

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	41D2099634
LAB Type	Federally Qualified Health Center
Facility Name	THUNDERMIST HEALTH CENTER
Street	1 RIVER STREET
City	WAKEFIELD
State	RI
ZIP	02879
Phone	401 767-4100
CertificateType	3
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024