41D2216444 CLIA NUMBER - OCEAN TIDES SCHOOL

Laboratory Demographics

CLIA Code: 41D2216444
Facility Name: OCEAN TIDES SCHOOL
Facility Address: 635 OCEAN RD
NARRAGANSETT, RI
ZIP 02882
Facility Phone: (401) 789-1016
Facility Type: Other - RESIDENT. SCHOOL. TEENS
Facility Type: Waiver
Lab Director: DENISE M. GILBERT
NPI Number: 1235259631
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	41D2216444
LAB Type	Other - RESIDENT. SCHOOL. TEENS
Facility Name	OCEAN TIDES SCHOOL
Street	635 OCEAN RD
City	NARRAGANSETT
State	RI
ZIP	02882
Phone	4017891016
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/12/2025
Certificate Expiration Date	3/11/2027
Facility Type	Other - RESIDENT. SCHOOL. TEENS
Lab Director	DENISE M. GILBERT

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This page was last updated on: 5/18/2026