41D2106441 CLIA NUMBER - OPTX

Laboratory Demographics

  • CLIA Code: 41D2106441
  • Facility Name: OPTX
  • Facility Address: 1277 HARTFORD AVE
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 521-3606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GIULIO G. DIAMANTE MD
  • NPI Number: 1770761660
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 41D2106441
LAB Type Physician Office
Facility Name OPTX
Street 1277 HARTFORD AVE
City JOHNSTON
State RI
ZIP 02919
Phone 401 521-3606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director GIULIO G. DIAMANTE MD

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