41D2234385 CLIA NUMBER - LANDMARK CENTER FOR INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 41D2234385
  • Facility Name: LANDMARK CENTER FOR INTERNAL MEDICINE
  • Facility Address: 20 CUMBERLAND HILL RD SUITE 202
    WOONSOCKET, RI
    ZIP 02895
  • Facility Phone: 401 488-4003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLENN G. FORT
  • NPI Number: 1396778593
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D2234385
LAB Type Physician Office
Facility Name LANDMARK CENTER FOR INTERNAL MEDICINE
Street 20 CUMBERLAND HILL RD SUITE 202
City WOONSOCKET
State RI
ZIP 02895
Phone 401 488-4003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director GLENN G. FORT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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