22D1082368 CLIA NUMBER - ONCALL URGENT CARE LLC DBA ONCALL HEALTHY LIVING PROGRAM

Laboratory Demographics

CLIA Number: 22D1082368

Facility Name: ONCALL URGENT CARE LLC DBA ONCALL HEALTHY LIVING PROGRAM

Facility Address:
51 LOCUST STREET
NORTHAMPTON, MA
ZIP 01060
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Facility Phone Number: 413 584-7425

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1447495494

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D1082368
LAB Type	Physician Office
Facility Name	ONCALL URGENT CARE LLC DBA ONCALL HEALTHY LIVING PROGRAM
Street	51 LOCUST STREET
City	NORTHAMPTON
State	MA
ZIP	01060
Phone	413 584-7425
CertificateType	2
CertificateEffectiveDate	7/6/2022
CertificateExpirationDate	7/5/2024
FacilityType	Compliance

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