22D0995799 CLIA NUMBER - CHICOPEE SENIOR CTR/COUNCIL ON AGING

Laboratory Demographics

  • CLIA Code: 22D0995799
  • Facility Name: CHICOPEE SENIOR CTR/COUNCIL ON AGING
  • Facility Address: 5 WEST MAIN STREET
    CHICOPEE, MA
    ZIP 01020
  • Facility Phone: 413 533-7333
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SHERRY MANYAK
  • NPI Number: 1639654064
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 22D0995799
LAB Type Other
Facility Name CHICOPEE SENIOR CTR/COUNCIL ON AGING
Street 5 WEST MAIN STREET
City CHICOPEE
State MA
ZIP 01020
Phone 413 533-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Other
Lab Director SHERRY MANYAK

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