22D1006306 CLIA NUMBER - BAYSTATE OB-GYN GROUP INC

Laboratory Demographics

  • CLIA Code: 22D1006306
  • Facility Name: BAYSTATE OB-GYN GROUP INC
  • Facility Address: 470 GRANBY ROAD
    SOUTH HADLEY, MA
    ZIP 01075
  • Facility Phone: 413 794-8484
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEBRA JUNNILA
  • NPI Number: 1366542342
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 22D1006306
LAB Type Physician Office
Facility Name BAYSTATE OB-GYN GROUP INC
Street 470 GRANBY ROAD
City SOUTH HADLEY
State MA
ZIP 01075
Phone 413 794-8484
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 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DEBRA JUNNILA

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