22D0719099 CLIA NUMBER - FITZPATRICK MORAN & COSTA

Laboratory Demographics

  • CLIA Code: 22D0719099
  • Facility Name: FITZPATRICK MORAN & COSTA
  • Facility Address: 299 CAREW STREET
    SPRINGFIELD, MA
    ZIP 01104
  • Facility Phone: 413 781-6210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES G. FITZPATRICK
  • NPI Number: 1245365923
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 22D0719099
LAB Type Physician Office
Facility Name FITZPATRICK MORAN & COSTA
Street 299 CAREW STREET
City SPRINGFIELD
State MA
ZIP 01104
Phone 413 781-6210
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 Physician Office
Lab Director JAMES G. FITZPATRICK

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