41D2287297 CLIA NUMBER - WALGREENS 10099

Laboratory Demographics

  • CLIA Code: 41D2287297
  • Facility Name: WALGREENS 10099
  • Facility Address: 333 ATWELLS AVE
    PROVIDENCE, RI
    ZIP 02903
  • Facility Phone: 401 276-8301
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIANNA P. DECESARE
  • NPI Number: 1629253125
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2287297
LAB Type Pharmacy
Facility Name WALGREENS 10099
Street 333 ATWELLS AVE
City PROVIDENCE
State RI
ZIP 02903
Phone 401 276-8301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director BRIANNA P. DECESARE

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