22D0875919 CLIA NUMBER - BAYSTATE BRIGHTWOOD HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 22D0875919
  • Facility Name: BAYSTATE BRIGHTWOOD HEALTH CENTER
  • Facility Address: 380 PLAINFIELD STREET
    SPRINGFIELD, MA
    ZIP 01107
  • Facility Phone: 413 322-4188
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: AUDREY S. GUHN
  • NPI Number: 1881057800
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 22D0875919
LAB Type Community Clinic
Facility Name BAYSTATE BRIGHTWOOD HEALTH CENTER
Street 380 PLAINFIELD STREET
City SPRINGFIELD
State MA
ZIP 01107
Phone 413 322-4188
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Community Clinic
Lab Director AUDREY S. GUHN

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