41D2226802 CLIA NUMBER - AQUIDNECK AVENUE FAMILY DENTAL

Laboratory Demographics

  • CLIA Code: 41D2226802
  • Facility Name: AQUIDNECK AVENUE FAMILY DENTAL
  • Facility Address: 747 AQUIDNECK AVE
    MIDDLETOWN, RI
    ZIP 02842
  • Facility Phone: 401 846-9660
  • Facility Type: Other - DENTAL OFFICE
  • Facility Type: Waiver
  • Lab Director: SUNJAY PATIL
  • NPI Number: 1245681626
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 41D2226802
LAB Type Other - DENTAL OFFICE
Facility Name AQUIDNECK AVENUE FAMILY DENTAL
Street 747 AQUIDNECK AVE
City MIDDLETOWN
State RI
ZIP 02842
Phone 401 846-9660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Other - DENTAL OFFICE
Lab Director SUNJAY PATIL

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