CLIA lab
CLIA 41D1076705: Sue Kelly Dermatology LLC
North Kingstown, RI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 41D1076705 belongs to Sue Kelly Dermatology LLC in North Kingstown, RI.
Certificate for Provider-Performed Microscopy Procedures, effective September 6, 2026, expires September 5, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 6, 2026
- Certificate expiration
- September 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 2007
- 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
- 41D1076705
- Lab name
- Sue Kelly Dermatology LLC
- Address
- 7 Weavers Road, North Kingstown, RI 02852
- Phone
- (401) 667-0905
- Fax
- (401) 667-0590
Annual test volume the lab reported
- Waived tests
- 16
- Provider-performed microscopy tests
- 6
- Total
- 22
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Kingstown, RI
- Adcare Rhode Island, IncCertificate of Waiver, Other41D2087492
- Adcare Rhode Island, Inc. Warwick OutpatientCertificate of Waiver, Other41D2328328
- Aspire Dermatology - North KingstownCertificate of Compliance, Physician office41D2320578
- Aware Recovery Care of Rhode Island LLCCertificate of Waiver, Other41D2247787
- Bayview Operator, LLCCertificate of Waiver, Skilled nursing or nursing facility41D0082583
- CargillCertificate of Waiver, Industrial41D2180610
- Dominion Diagnostics, LLCCertificate of Accreditation, Independent49D0926092
- Electric Boat Family PharmacyCertificate of Waiver, Pharmacy41D2119658
- General Dynamics Electric Boat Quonset PointCertificate of Waiver, Other41D2235107
- Kingstown Pediatrics IncCertificate of Waiver, Physician office41D1036535
Related
Questions
What is the CLIA number for Sue Kelly Dermatology LLC in North Kingstown?
41D1076705, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sue Kelly Dermatology LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 41D1076705 expire?
The CMS file lists September 5, 2028 as the certificate expiration date; the certificate took effect September 6, 2026.