41D2251642 CLIA NUMBER - PEDIATRIC ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 41D2251642
  • Facility Name: PEDIATRIC ASSOCIATES, INC
  • Facility Address: 450 VETERANS MEMORIAL PARKWAY #11
    EAST PROVIDENCE, RI
    ZIP 02914
  • Facility Phone: 401 438-6888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREE HEINL
  • NPI Number: 1205974623
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 41D2251642
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES, INC
Street 450 VETERANS MEMORIAL PARKWAY #11
City EAST PROVIDENCE
State RI
ZIP 02914
Phone 401 438-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director DR. ANDREE HEINL

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