41D2294693 CLIA NUMBER - PRIMA CARE AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 41D2294693
  • Facility Name: PRIMA CARE AMBULATORY SURGERY CENTER
  • Facility Address: 1040 CHARLES ST
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 508 676-3292
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAJENDRA PATEL
  • NPI Number: 1083158265
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D2294693
LAB Type Ambulatory Surgery Center
Facility Name PRIMA CARE AMBULATORY SURGERY CENTER
Street 1040 CHARLES ST
City NORTH PROVIDENCE
State RI
ZIP 02904
Phone 508 676-3292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Ambulatory Surgery Center
Lab Director RAJENDRA PATEL

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