22D0067746 CLIA NUMBER - PIONEER VALLEY UROLOGY, PC

Laboratory Demographics

CLIA Number: 22D0067746

Facility Name: PIONEER VALLEY UROLOGY, PC

Facility Address:
100 WASON AVE, SUITE 120 ATTN CHRIS WHITE
SPRINGFIELD, MA
ZIP 01107
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Facility Phone Number: 413 241-2100

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1750315982

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	22D0067746
LAB Type	Physician Office
Facility Name	PIONEER VALLEY UROLOGY, PC
Street	100 WASON AVE, SUITE 120 ATTN CHRIS WHITE
City	SPRINGFIELD
State	MA
ZIP	01107
Phone	413 241-2100
CertificateType	2
CertificateEffectiveDate	4/27/2024
CertificateExpirationDate	4/26/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024