CLIA lab
CLIA 41D2164956: Crystal Lake Rehabilitation & Care Center
Pascoag, RI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 41D2164956 belongs to Crystal Lake Rehabilitation & Care Center in Pascoag, RI.
Certificate of Waiver, effective April 17, 2025, expires April 16, 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
- April 17, 2025
- Certificate expiration
- April 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2019
- 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
- 41D2164956
- Lab name
- Crystal Lake Rehabilitation & Care Center
- Address
- 999 South Main St, Pascoag, RI 02859
- Phone
- (401) 568-5091
- Fax
- (401) 568-8070
Annual test volume the lab reported
- Waived tests
- 16,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Crystal Lake Rehabilitation and Care CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Pascoag, RI
- Bayberry CommonsCertificate of Waiver, Skilled nursing or nursing facility41D0658389
- Eleanor Slater Hospital Zambarano UnitCertificate of Accreditation, Hospital41D0082610
- Northwest Community Health CareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center41D0658356
- Overlook Nursing & Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility41D0083318
- Rhode Island CVS Pharmacy, LLCCertificate of Waiver, Pharmacy41D2219859
Related
Questions
What is the CLIA number for Crystal Lake Rehabilitation & Care Center in Pascoag?
41D2164956, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crystal Lake Rehabilitation & Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 41D2164956 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.