CLIA lab

CLIA 41D2159343: Oak Street Health-712 Broad

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

CLIA number 41D2159343 belongs to Oak Street Health-712 Broad in Providence, RI.

Certificate of Waiver, effective December 18, 2024, expires December 17, 2026.

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
December 18, 2024
Certificate expiration
December 17, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 18, 2018
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
40

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
41D2159343
Lab name
Oak Street Health-712 Broad
Address
712 Broad St, Providence, RI 02907
Phone
(844) 808-8262

Annual test volume the lab reported

Waived tests
5,000

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

Affiliated CLIA numbers

Other labs in Providence, RI

Related

Questions

What is the CLIA number for Oak Street Health-712 Broad in Providence?

41D2159343, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Oak Street Health-712 Broad hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 41D2159343 expire?

The CMS file lists December 17, 2026 as the certificate expiration date; the certificate took effect December 18, 2024.

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