41D2319716 CLIA NUMBER - MICHELLE VANNIEUWENHUIZE MD LLC

Laboratory Demographics

  • CLIA Code: 41D2319716
  • Facility Name: MICHELLE VANNIEUWENHUIZE MD LLC
  • Facility Address: 6 BLACKSTONE VALLEY PL STE 305
    LINCOLN, RI
    ZIP 02865
  • Facility Phone: 401 334-1097
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE C. VANNIEUWENHUIZE
  • NPI Number: 1386653343
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 41D2319716
LAB Type Physician Office
Facility Name MICHELLE VANNIEUWENHUIZE MD LLC
Street 6 BLACKSTONE VALLEY PL STE 305
City LINCOLN
State RI
ZIP 02865
Phone 401 334-1097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director MICHELLE C. VANNIEUWENHUIZE

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