41D2248149 CLIA NUMBER - SEASIDE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 41D2248149
  • Facility Name: SEASIDE PRIMARY CARE
  • Facility Address: 27 EAST AVENUE
    WESTERLY, RI
    ZIP 02891
  • Facility Phone: 401 246-8496
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DEBRA L. FURTADO
  • NPI Number: 1295492411
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 41D2248149
LAB Type Physician Office
Facility Name SEASIDE PRIMARY CARE
Street 27 EAST AVENUE
City WESTERLY
State RI
ZIP 02891
Phone 401 246-8496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director MS. DEBRA L. FURTADO

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