41D2316229 CLIA NUMBER - AMOS HOUSE

Laboratory Demographics

  • CLIA Code: 41D2316229
  • Facility Name: AMOS HOUSE
  • Facility Address: 460 PINE ST
    PROVIDENCE, RI
    ZIP 02907
  • Facility Phone: 401 274-9373
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RAHUL VANJANI
  • NPI Number: 1891157509
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 41D2316229
LAB Type Community Clinic
Facility Name AMOS HOUSE
Street 460 PINE ST
City PROVIDENCE
State RI
ZIP 02907
Phone 401 274-9373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Community Clinic
Lab Director RAHUL VANJANI

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