22D2128766 CLIA NUMBER - COMMUNITY PHYSICIANS PC

Laboratory Demographics

CLIA Number: 22D2128766

Facility Name: COMMUNITY PHYSICIANS PC

Facility Address:
441 PLEASANT ST
NORTHAMPTON, MA
ZIP 01060
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Facility Phone Number: 413 584-2404

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891823092

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	22D2128766
LAB Type	Physician Office
Facility Name	COMMUNITY PHYSICIANS PC
Street	441 PLEASANT ST
City	NORTHAMPTON
State	MA
ZIP	01060
Phone	413 584-2404
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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