41D2260964 CLIA NUMBER - RHODE ISLAND VASCULAR CENTER, LLC

Laboratory Demographics

  • CLIA Code: 41D2260964
  • Facility Name: RHODE ISLAND VASCULAR CENTER, LLC
  • Facility Address: 70 KENYON AVE L60
    WAKEFIELD, RI
    ZIP 02879
  • Facility Phone: 401 315-9575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MA HARRY
  • NPI Number: 1427607332
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 41D2260964
LAB Type Physician Office
Facility Name RHODE ISLAND VASCULAR CENTER, LLC
Street 70 KENYON AVE L60
City WAKEFIELD
State RI
ZIP 02879
Phone 401 315-9575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director MA HARRY

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