CLIA lab
CLIA 41D0083074: 642 Metacom Avenue Operations LLC
Warren, RI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 41D0083074 belongs to 642 Metacom Avenue Operations LLC in Warren, RI.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 24, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 41D0083074
- Lab name
- 642 Metacom Avenue Operations LLC
- Additional name
- (Warren Skilled Nursing)
- Address
- 642 Metacom Avenue, Warren, RI 02885
- Phone
- (401) 245-2860
- Fax
- (401) 245-0959
Annual test volume the lab reported
- Waived tests
- 1,560
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Warren Operations RI, LLC DBA Warren CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Warren, RI
- American Ecotech, LCCertificate of Waiver, Other41D2207726
- Aspire Dermatology - WarrenCertificate for Provider-Performed Microscopy Procedures, Physician office41D2177345
- Crestwood Nursing & Convalescent HomeCertificate of Waiver, Skilled nursing or nursing facility41D0894711
- Grace Barker Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility41D0667293
- Willows,theCertificate of Waiver, Other41D1066115
Related
Questions
What is the CLIA number for 642 Metacom Avenue Operations LLC in Warren?
41D0083074, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 642 Metacom Avenue Operations LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 41D0083074 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.