41D2296887 CLIA NUMBER - MDRI LLC

Laboratory Demographics

  • CLIA Code: 41D2296887
  • Facility Name: MDRI LLC
  • Facility Address: 2 WAKE ROBIN RD STE 205
    LINCOLN, RI
    ZIP 02865
  • Facility Phone: 401 398-0288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN H. MARTIN
  • NPI Number: 1922887157
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D2296887
LAB Type Physician Office
Facility Name MDRI LLC
Street 2 WAKE ROBIN RD STE 205
City LINCOLN
State RI
ZIP 02865
Phone 401 398-0288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director JONATHAN H. MARTIN

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