22D0946324 CLIA NUMBER - WILBRAHAM & MONSON ACADEMY HEALTH SERV

Laboratory Demographics

  • CLIA Code: 22D0946324
  • Facility Name: WILBRAHAM & MONSON ACADEMY HEALTH SERV
  • Facility Address: 19 FACULTY STREET - FIRST FLOOR
    WILBRAHAM, MA
    ZIP 01095
  • Facility Phone: 413 596-6811
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. AMY C. KASPER
  • NPI Number: 1982150025
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D0946324
LAB Type School/Student Health Service
Facility Name WILBRAHAM & MONSON ACADEMY HEALTH SERV
Street 19 FACULTY STREET - FIRST FLOOR
City WILBRAHAM
State MA
ZIP 01095
Phone 413 596-6811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type School/Student Health Service
Lab Director DR. AMY C. KASPER

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