22D0066560 CLIA NUMBER - RIVERBEND MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 22D0066560
  • Facility Name: RIVERBEND MEDICAL GROUP INC
  • Facility Address: 444 MONTGOMERY STREET
    CHICOPEE, MA
    ZIP 01020
  • Facility Phone: 413 598-7428
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNE SHAIN
  • NPI Number: 1609821990
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0066560
LAB Type Physician Office
Facility Name RIVERBEND MEDICAL GROUP INC
Street 444 MONTGOMERY STREET
City CHICOPEE
State MA
ZIP 01020
Phone 413 598-7428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director ANNE SHAIN

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This page was last updated on: 9/29/2025