41D2121001 CLIA NUMBER - CENTRAL FALLS DETENTION FACILITY CORPORATION

Laboratory Demographics

  • CLIA Code: 41D2121001
  • Facility Name: CENTRAL FALLS DETENTION FACILITY CORPORATION
  • Facility Address: 950 HIGH ST
    CENTRAL FALLS, RI
    ZIP 02863
  • Facility Phone: 401 721-0355
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: EDWARD A. BLANCHETTE MD
  • NPI Number: 1811037328
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 41D2121001
LAB Type Prison
Facility Name CENTRAL FALLS DETENTION FACILITY CORPORATION
Street 950 HIGH ST
City CENTRAL FALLS
State RI
ZIP 02863
Phone 401 721-0355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Prison
Lab Director EDWARD A. BLANCHETTE MD

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