22D2113245 CLIA NUMBER - PIONEER VALLEY UROLOGY

Laboratory Demographics

  • CLIA Code: 22D2113245
  • Facility Name: PIONEER VALLEY UROLOGY
  • Facility Address: 40 WRIGHT ST
    PALMER, MA
    ZIP 01069
  • Facility Phone: 413 241-2100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID R. KELLEY
  • NPI Number: 1750315982
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 22D2113245
LAB Type Physician Office
Facility Name PIONEER VALLEY UROLOGY
Street 40 WRIGHT ST
City PALMER
State MA
ZIP 01069
Phone 413 241-2100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director DAVID R. KELLEY

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