22D0892047 CLIA NUMBER - EAST MOUNTAIN MEDICAL

Laboratory Demographics

  • CLIA Code: 22D0892047
  • Facility Name: EAST MOUNTAIN MEDICAL
  • Facility Address: 780 MAIN ST
    GREAT BARRINGTON, MA
    ZIP 01230
  • Facility Phone: 413 854-9966
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA CAINE
  • NPI Number: 1881252286
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D0892047
LAB Type Physician Office
Facility Name EAST MOUNTAIN MEDICAL
Street 780 MAIN ST
City GREAT BARRINGTON
State MA
ZIP 01230
Phone 413 854-9966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director REBECCA CAINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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