41D2272137 CLIA NUMBER - CENTER FOR MEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 41D2272137
  • Facility Name: CENTER FOR MEN'S HEALTH
  • Facility Address: 2 RICHMOND SQUARE
    PROVIDENCE, RI
    ZIP 02906
  • Facility Phone: 774 432-0446
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONARD A. BERKOWITZ
  • NPI Number: 1790207876
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 41D2272137
LAB Type Physician Office
Facility Name CENTER FOR MEN'S HEALTH
Street 2 RICHMOND SQUARE
City PROVIDENCE
State RI
ZIP 02906
Phone 774 432-0446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director LEONARD A. BERKOWITZ

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