22D2112153 CLIA NUMBER - CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 22D2112153
  • Facility Name: CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER
  • Facility Address: 71 HOSPITAL AVE FLOOR 3
    NORTH ADAMS, MA
    ZIP 01247
  • Facility Phone: 413 528-9311
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. GIRO SAMALE
  • NPI Number: 1194195206
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2112153
LAB Type Federally Qualified Health Center
Facility Name CHP NORTH ADAMS FAMILY MEDICAL AND DENTAL CENTER
Street 71 HOSPITAL AVE FLOOR 3
City NORTH ADAMS
State MA
ZIP 01247
Phone 413 528-9311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Federally Qualified Health Center
Lab Director DR. GIRO SAMALE

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