41D2295357 CLIA NUMBER - PLAIN STREET PRIMARYCARE

Laboratory Demographics

  • CLIA Code: 41D2295357
  • Facility Name: PLAIN STREET PRIMARYCARE
  • Facility Address: 235 PLAIN STREET STE 304
    PROVIDENCE, RI
    ZIP 02905
  • Facility Phone: (401) 272-0127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUPAL H. THAKOR
  • NPI Number: 1538936133
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D2295357
LAB Type Physician Office
Facility Name PLAIN STREET PRIMARYCARE
Street 235 PLAIN STREET STE 304
City PROVIDENCE
State RI
ZIP 02905
Phone 4012720127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2025
Certificate Expiration Date 12/10/2027
Facility Type Physician Office
Lab Director RUPAL H. THAKOR

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This page was last updated on: 5/18/2026