22D1105051 CLIA NUMBER - GREATER SPRINGFIELD SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 22D1105051
  • Facility Name: GREATER SPRINGFIELD SURGERY CENTER LLC
  • Facility Address: 100 WASON AVENUE SUITE 110
    SPRINGFIELD, MA
    ZIP 01107
  • Facility Phone: 413 304-2171
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN GALLO
  • NPI Number: 1902039936
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1105051
LAB Type Ambulatory Surgery Center
Facility Name GREATER SPRINGFIELD SURGERY CENTER LLC
Street 100 WASON AVENUE SUITE 110
City SPRINGFIELD
State MA
ZIP 01107
Phone 413 304-2171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN GALLO

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