41D2110830 CLIA NUMBER - MSL FACIAL + ORAL SURGERY

Laboratory Demographics

  • CLIA Code: 41D2110830
  • Facility Name: MSL FACIAL + ORAL SURGERY
  • Facility Address: 243 JEFFERSON BLVD
    WARWICK, RI
    ZIP 02888
  • Facility Phone: 401 739-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK PALETTA MD DMD
  • NPI Number: 1972579183
  • Taxonomy: 204E00000X - Oral & Maxillofacial Surgery

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CLIA Record

Field Name Field Value
CLIA Number 41D2110830
LAB Type Physician Office
Facility Name MSL FACIAL + ORAL SURGERY
Street 243 JEFFERSON BLVD
City WARWICK
State RI
ZIP 02888
Phone 401 739-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director FRANK PALETTA MD DMD

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