CLIA lab

CLIA 41D2197865: Pacifica Senior Living Victoria Court

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

CLIA number 41D2197865 belongs to Pacifica Senior Living Victoria Court in Cranston, RI.

Certificate of Waiver, effective October 28, 2026, expires October 27, 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
October 28, 2026
Certificate expiration
October 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2020
Facility type
Assisted living 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
41D2197865
Lab name
Pacifica Senior Living Victoria Court
Address
55 Oaklawn Ave, Cranston, RI 02920
Phone
(401) 946-5522
Fax
(401) 942-5582

Annual test volume the lab reported

Waived tests
300

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

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Related

Questions

What is the CLIA number for Pacifica Senior Living Victoria Court in Cranston?

41D2197865, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pacifica Senior Living Victoria Court hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 41D2197865 expire?

The CMS file lists October 27, 2028 as the certificate expiration date; the certificate took effect October 28, 2026.

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