22D1040047 CLIA NUMBER - SPRINGFIELD PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 22D1040047
  • Facility Name: SPRINGFIELD PEDIATRICS LLC
  • Facility Address: 299 CAREW STREET SUITE 126
    SPRINGFIELD, MA
    ZIP 01104
  • Facility Phone: 413 747-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA ETHEL EVALES
  • NPI Number: 1831388792
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 22D1040047
LAB Type Physician Office
Facility Name SPRINGFIELD PEDIATRICS LLC
Street 299 CAREW STREET SUITE 126
City SPRINGFIELD
State MA
ZIP 01104
Phone 413 747-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director MARIA ETHEL EVALES

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