CLIA lab

CLIA 41D0931168: Herman Ayvazyan MD

East Providence, RI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 41D0931168 belongs to Herman Ayvazyan MD in East Providence, RI.

Certificate of Waiver, effective July 24, 2025, expires July 23, 2027.

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
July 24, 2025
Certificate expiration
July 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 24, 1997
Facility type
Physician office
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
41D0931168
Lab name
Herman Ayvazyan MD
Address
450 Veterans Memorial Pkwy #12, East Providence, RI 02914
Phone
(401) 434-6464

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in East Providence, RI

Related

Questions

What is the CLIA number for Herman Ayvazyan MD in East Providence?

41D0931168, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Herman Ayvazyan MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 41D0931168 expire?

The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.

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