41D2208555 CLIA NUMBER - ABSOLUTE RESPIRATORY CARE INC

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Laboratory Demographics

CLIA Number: 41D2208555

Facility Name: ABSOLUTE RESPIRATORY CARE INC

Facility Address:
1665 HARTFORD AVE
JOHNSTON, RI
ZIP 02919
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Facility Phone Number: 401 458-1902

Facility Type: Other - HOME REPIRATORY COMP

Certificate Type: Waiver

NPI Number: 1720091762

Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	41D2208555
LAB Type	Other - HOME REPIRATORY COMP
Facility Name	ABSOLUTE RESPIRATORY CARE INC
Street	1665 HARTFORD AVE
City	JOHNSTON
State	RI
ZIP	02919
Phone	401 458-1902
CertificateType	4
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024