41D2119710 CLIA NUMBER - NORTHWEST COMMUNITY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 41D2119710
  • Facility Name: NORTHWEST COMMUNITY HEALTH CARE
  • Facility Address: 35 VILLAGE PLAZA WAY UNITS 12-13
    NORTH SCITUATE, RI
    ZIP 02857
  • Facility Phone: 401 567-0800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: ANDREA MARCOTTE NP
  • NPI Number: 1578609442
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 41D2119710
LAB Type Federally Qualified Health Center
Facility Name NORTHWEST COMMUNITY HEALTH CARE
Street 35 VILLAGE PLAZA WAY UNITS 12-13
City NORTH SCITUATE
State RI
ZIP 02857
Phone 401 567-0800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Federally Qualified Health Center
Lab Director ANDREA MARCOTTE NP

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