41D2298112 CLIA NUMBER - ASPIRE DERMATOLOGY-100 VALLEY

Laboratory Demographics

  • CLIA Code: 41D2298112
  • Facility Name: ASPIRE DERMATOLOGY-100 VALLEY
  • Facility Address: 100 VALLEY RD
    MIDDLETOWN, RI
    ZIP 02842
  • Facility Phone: 401 239-1800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMANDA FREDETTE
  • NPI Number: 1700176849
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 41D2298112
LAB Type Physician Office
Facility Name ASPIRE DERMATOLOGY-100 VALLEY
Street 100 VALLEY RD
City MIDDLETOWN
State RI
ZIP 02842
Phone 401 239-1800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director AMANDA FREDETTE

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