41D2212444 CLIA NUMBER - PROJECT WEBER/RENEW

Laboratory Demographics

  • CLIA Code: 41D2212444
  • Facility Name: PROJECT WEBER/RENEW
  • Facility Address: 45 WILLARD AVE
    PROVIDENCE, RI
    ZIP 02905
  • Facility Phone: 401 383-4888
  • Facility Type: Other - COMMUNITY HEALTH NONPROF
  • Facility Type: Waiver
  • Lab Director: COLLEEN DALEY NDOYE
  • NPI Number: 1750156451
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 41D2212444
LAB Type Other - COMMUNITY HEALTH NONPROF
Facility Name PROJECT WEBER/RENEW
Street 45 WILLARD AVE
City PROVIDENCE
State RI
ZIP 02905
Phone 401 383-4888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Other - COMMUNITY HEALTH NONPROF
Lab Director COLLEEN DALEY NDOYE

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