41D2270837 CLIA NUMBER - DIRECT DOCTORS, INC RIVERSIDE LOCATION

Laboratory Demographics

  • CLIA Code: 41D2270837
  • Facility Name: DIRECT DOCTORS, INC RIVERSIDE LOCATION
  • Facility Address: 502 BULLOCKS POINT AVENUE
    RIVERSIDE, RI
    ZIP 02915
  • Facility Phone: 401 400-2699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLEY M. LAKIN
  • NPI Number: 1407222789
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D2270837
LAB Type Physician Office
Facility Name DIRECT DOCTORS, INC RIVERSIDE LOCATION
Street 502 BULLOCKS POINT AVENUE
City RIVERSIDE
State RI
ZIP 02915
Phone 401 400-2699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director ASHLEY M. LAKIN

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