22D1011211 CLIA NUMBER - ARA SPRINGFIELD DIALYSIS LLC

Laboratory Demographics

CLIA Number: 22D1011211

Facility Name: ARA SPRINGFIELD DIALYSIS LLC

Facility Address:
90 CAREW STREET STE A
SPRINGFIELD, MA
ZIP 01104
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Facility Phone Number: 413 736-9600

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1770525024

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D1011211
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ARA SPRINGFIELD DIALYSIS LLC
Street	90 CAREW STREET STE A
City	SPRINGFIELD
State	MA
ZIP	01104
Phone	413 736-9600
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024