41D2315023 CLIA NUMBER - WOMEN'S MEDICINE COOPERATIVE

Laboratory Demographics

  • CLIA Code: 41D2315023
  • Facility Name: WOMEN'S MEDICINE COOPERATIVE
  • Facility Address: 1195 NORTH MAIN ST
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 736-1967
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IRIS L. TONG
  • NPI Number: 1164716031
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D2315023
LAB Type Physician Office
Facility Name WOMEN'S MEDICINE COOPERATIVE
Street 1195 NORTH MAIN ST
City PROVIDENCE
State RI
ZIP 02904
Phone 401 736-1967
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 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director IRIS L. TONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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