22D0921078 CLIA NUMBER - BAYSTATE PRIMARY CARE AND PEDIATRICS SPRINGFIELD

Laboratory Demographics

  • CLIA Code: 22D0921078
  • Facility Name: BAYSTATE PRIMARY CARE AND PEDIATRICS SPRINGFIELD
  • Facility Address: 3640 MAIN STREET #207
    SPRINGFIELD, MA
    ZIP 01107
  • Facility Phone: (413) 739-0669
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALBERT J. CENNERAZZO

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CLIA Record

Field Name Field Value
CLIA Number 22D0921078
LAB Type Physician Office
Facility Name BAYSTATE PRIMARY CARE AND PEDIATRICS SPRINGFIELD
Street 3640 MAIN STREET #207
City SPRINGFIELD
State MA
ZIP 01107
Phone 4137390669
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 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director ALBERT J. CENNERAZZO

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This page was last updated on: 5/15/2026