41D2205832 CLIA NUMBER - SMITHFIELD FIRE DEPARTMENT

Laboratory Demographics

CLIA Code: 41D2205832
Facility Name: SMITHFIELD FIRE DEPARTMENT
Facility Address: 607 PUTMAM PIKE
GREENVILLE, RI
ZIP 02828
Facility Phone: 401 949-6007
Facility Type: Other - FIRE DEPARTMENT
Facility Type: Waiver
Lab Director: JONATHAN M. POLAK
NPI Number: 1174658231
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	41D2205832
LAB Type	Other - FIRE DEPARTMENT
Facility Name	SMITHFIELD FIRE DEPARTMENT
Street	607 PUTMAM PIKE
City	GREENVILLE
State	RI
ZIP	02828
Phone	401 949-6007
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/16/2024
Certificate Expiration Date	12/15/2026
Facility Type	Other - FIRE DEPARTMENT
Lab Director	JONATHAN M. POLAK

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