CLIA lab

CLIA 41D1079940: East Side Pediatrics

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

CLIA number 41D1079940 belongs to East Side Pediatrics in Providence, RI.

Certificate of Waiver, effective February 11, 2026, expires February 10, 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
February 11, 2026
Certificate expiration
February 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 11, 2008
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
41D1079940
Lab name
East Side Pediatrics
Address
285 Governor St, 3rd Fl, Providence, RI 02906
Phone
(401) 383-4411
Fax
(401) 383-8010

Annual test volume the lab reported

Waived tests
3,500

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

Other labs in Providence, RI

Related

Questions

What is the CLIA number for East Side Pediatrics in Providence?

41D1079940, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does East Side Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 41D1079940 expire?

The CMS file lists February 10, 2028 as the certificate expiration date; the certificate took effect February 11, 2026.

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