41D2196761 CLIA NUMBER - ASTHENIS LLC

Laboratory Demographics

  • CLIA Code: 41D2196761
  • Facility Name: ASTHENIS LLC
  • Facility Address: 206 CRANSTON STREET
    PROVIDENCE, RI
    ZIP 02907
  • Facility Phone: 401 473-3958
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EUGENIO FERNANDEZ
  • NPI Number: 1124520994
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2196761
LAB Type Pharmacy
Facility Name ASTHENIS LLC
Street 206 CRANSTON STREET
City PROVIDENCE
State RI
ZIP 02907
Phone 401 473-3958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Pharmacy
Lab Director EUGENIO FERNANDEZ

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