22D0718678 CLIA NUMBER - WESTERN MASS KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 22D0718678
  • Facility Name: WESTERN MASS KIDNEY CENTER
  • Facility Address: 2000 MAIN STREET
    SPRINGFIELD, MA
    ZIP 01103
  • Facility Phone: 413 739-4751
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY MULHERN
  • NPI Number: 1801936570
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D0718678
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WESTERN MASS KIDNEY CENTER
Street 2000 MAIN STREET
City SPRINGFIELD
State MA
ZIP 01103
Phone 413 739-4751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEFFREY MULHERN

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