41D2115421 CLIA NUMBER - BROWN UROLOGY, INC

Laboratory Demographics

  • CLIA Code: 41D2115421
  • Facility Name: BROWN UROLOGY, INC
  • Facility Address: 827 NORTH MAIN
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 272-7799
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIAS HYAMS
  • NPI Number: 1467973099
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 41D2115421
LAB Type Physician Office
Facility Name BROWN UROLOGY, INC
Street 827 NORTH MAIN
City PROVIDENCE
State RI
ZIP 02904
Phone 401 272-7799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director ELIAS HYAMS

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