41D2218823 CLIA NUMBER - COLLYER STREET OPERATORY DBA BROWN UROLOGY

Laboratory Demographics

  • CLIA Code: 41D2218823
  • Facility Name: COLLYER STREET OPERATORY DBA BROWN UROLOGY
  • Facility Address: 195 COLLYER ST
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 246-2025
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GYAN PAREEK
  • NPI Number: 1336658145
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D2218823
LAB Type Ambulatory Surgery Center
Facility Name COLLYER STREET OPERATORY DBA BROWN UROLOGY
Street 195 COLLYER ST
City PROVIDENCE
State RI
ZIP 02904
Phone 401 246-2025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Ambulatory Surgery Center
Lab Director GYAN PAREEK

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This page was last updated on: 6/4/2025