22D1049502 CLIA NUMBER - NORTH BROOKFIELD EMS

Laboratory Demographics

  • CLIA Code: 22D1049502
  • Facility Name: NORTH BROOKFIELD EMS
  • Facility Address: 84 SOUTH MAIN STREET
    NORTH BROOKFIELD, MA
    ZIP 01535
  • Facility Phone: 508 867-6308
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ANGELINA L. GOLDSMITH
  • NPI Number: 1124004486
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D1049502
LAB Type Ambulance
Facility Name NORTH BROOKFIELD EMS
Street 84 SOUTH MAIN STREET
City NORTH BROOKFIELD
State MA
ZIP 01535
Phone 508 867-6308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Ambulance
Lab Director ANGELINA L. GOLDSMITH

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