22D0944663 CLIA NUMBER - GLEN P BOMBARDIER MD

Laboratory Demographics

  • CLIA Code: 22D0944663
  • Facility Name: GLEN P BOMBARDIER MD
  • Facility Address: 10 HOSPITAL DRIVE
    HOLYOKE, MA
    ZIP 01040
  • Facility Phone: 413 533-7139
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLEN BOMBARDIER MD
  • NPI Number: 1487741757
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0944663
LAB Type Physician Office
Facility Name GLEN P BOMBARDIER MD
Street 10 HOSPITAL DRIVE
City HOLYOKE
State MA
ZIP 01040
Phone 413 533-7139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director GLEN BOMBARDIER MD

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This page was last updated on: 6/4/2025