41D2292895 CLIA NUMBER - MATTHEW K ROCHELEAU, DO LLC

Laboratory Demographics

  • CLIA Code: 41D2292895
  • Facility Name: MATTHEW K ROCHELEAU, DO LLC
  • Facility Address: 215 TOLL GATE RD STE 306
    WARWICK, RI
    ZIP 02886
  • Facility Phone: 401 373-0820
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MATTHEW K. ROCHELEAU
  • NPI Number: 1093342321
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D2292895
LAB Type Independent
Facility Name MATTHEW K ROCHELEAU, DO LLC
Street 215 TOLL GATE RD STE 306
City WARWICK
State RI
ZIP 02886
Phone 401 373-0820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director MATTHEW K. ROCHELEAU

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