41D2242612 CLIA NUMBER - KLIBANOFF EYE ASSOCIATES, LTD

Laboratory Demographics

  • CLIA Code: 41D2242612
  • Facility Name: KLIBANOFF EYE ASSOCIATES, LTD
  • Facility Address: 55 BROAD ST
    PAWTUCKET, RI
    ZIP 02860
  • Facility Phone: 401 723-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN D. KLIBANOFF
  • NPI Number: 1467508556
  • Taxonomy: 152WC0802X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 41D2242612
LAB Type Physician Office
Facility Name KLIBANOFF EYE ASSOCIATES, LTD
Street 55 BROAD ST
City PAWTUCKET
State RI
ZIP 02860
Phone 401 723-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director BENJAMIN D. KLIBANOFF

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