41D2257732 CLIA NUMBER - LINCOLN PEDIATRICS A LIFESPAN PHYSICIAN GROUP PARTNER

Laboratory Demographics

  • CLIA Code: 41D2257732
  • Facility Name: LINCOLN PEDIATRICS A LIFESPAN PHYSICIAN GROUP PARTNER
  • Facility Address: 6 BLACKSTONE VALLE PLACE SUITE 306-B
    LINCOLN, RI
    ZIP 02865
  • Facility Phone: 401 334-4021
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTA S. SOWA
  • NPI Number: 1588648935
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 41D2257732
LAB Type Physician Office
Facility Name LINCOLN PEDIATRICS A LIFESPAN PHYSICIAN GROUP PARTNER
Street 6 BLACKSTONE VALLE PLACE SUITE 306-B
City LINCOLN
State RI
ZIP 02865
Phone 401 334-4021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director MARTA S. SOWA

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