41D2262516 CLIA NUMBER - ELITE MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 41D2262516
  • Facility Name: ELITE MEDICAL CENTER LLC
  • Facility Address: 1515 SMITH ST STE A
    NORTH PROVIDENCE, RI
    ZIP 02911
  • Facility Phone: 401 490-9550
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: OLUSEYI G ABIOYE-AKANJI
  • NPI Number: 1902557366
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 41D2262516
LAB Type Practitioner Other
Facility Name ELITE MEDICAL CENTER LLC
Street 1515 SMITH ST STE A
City NORTH PROVIDENCE
State RI
ZIP 02911
Phone 401 490-9550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Practitioner Other
Lab Director OLUSEYI G ABIOYE-AKANJI

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