41D2325692 CLIA NUMBER - MDRI DBA CHERRY HILL MEDICINE

Laboratory Demographics

  • CLIA Code: 41D2325692
  • Facility Name: MDRI DBA CHERRY HILL MEDICINE
  • Facility Address: 1239 HARTFORD AVE STE 3B
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 209-1760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK M. D ALESSANDRO
  • NPI Number: 1801680004
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D2325692
LAB Type Physician Office
Facility Name MDRI DBA CHERRY HILL MEDICINE
Street 1239 HARTFORD AVE STE 3B
City JOHNSTON
State RI
ZIP 02919
Phone 401 209-1760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director FRANK M. D ALESSANDRO

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