41D2230774 CLIA NUMBER - WALGREENS #19761

Laboratory Demographics

  • CLIA Code: 41D2230774
  • Facility Name: WALGREENS #19761
  • Facility Address: 1510 SMITH ST
    NORTH PROVIDENCE, RI
    ZIP 02911
  • Facility Phone: 401 353-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT D. MURPHY
  • NPI Number: 1669995502
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2230774
LAB Type Physician Office
Facility Name WALGREENS #19761
Street 1510 SMITH ST
City NORTH PROVIDENCE
State RI
ZIP 02911
Phone 401 353-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director ROBERT D. MURPHY

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