22D0066694 CLIA NUMBER - GREAT BARRINGTON INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 22D0066694
  • Facility Name: GREAT BARRINGTON INTERNAL MEDICINE
  • Facility Address: 34 BRIDGE ST STE 106
    GREAT BARRINGTON, MA
    ZIP 01230
  • Facility Phone: 413 344-3037
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANI GEORGE
  • NPI Number: 1548558448
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 22D0066694
LAB Type Physician Office
Facility Name GREAT BARRINGTON INTERNAL MEDICINE
Street 34 BRIDGE ST STE 106
City GREAT BARRINGTON
State MA
ZIP 01230
Phone 413 344-3037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director MANI GEORGE

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