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22D2131159 CLIA NUMBER - KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND PC

Laboratory Demographics

CLIA Number: 22D2131159

Facility Name: KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND PC

Facility Address:
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA
ZIP 01089
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Facility Phone Number: 413 733-0010

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1598202558

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name Field Value
CLIA Number 22D2131159
LAB Type Physician Office
Facility Name KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND PC
Street 134 CAPITAL DR STE E
City WEST SPRINGFIELD
State MA
ZIP 01089
Phone 413 733-0010
CertificateType 4
CertificateEffectiveDate 5/23/2023
CertificateExpirationDate 5/22/2025
FacilityType Waiver

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