22D0977921 CLIA NUMBER - CHP BERKSHIRE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 22D0977921
  • Facility Name: CHP BERKSHIRE PEDIATRICS
  • Facility Address: 777 NORTH ST SUITE 305, 3RD FLOOR
    PITTSFIELD, MA
    ZIP 01201
  • Facility Phone: 413 528-9311
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. MICHELE BEDARD
  • NPI Number: 1942720214
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D0977921
LAB Type Federally Qualified Health Center
Facility Name CHP BERKSHIRE PEDIATRICS
Street 777 NORTH ST SUITE 305, 3RD FLOOR
City PITTSFIELD
State MA
ZIP 01201
Phone 413 528-9311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Federally Qualified Health Center
Lab Director DR. MICHELE BEDARD

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