22D2155750 CLIA NUMBER - ARA HOLYOKE DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 22D2155750

Facility Name: ARA HOLYOKE DIALYSIS CENTER

Facility Address:
36 LOWER WESTFIELD UNIT C - 153
HOLYOKE, MA
ZIP 01040
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Facility Phone Number: 413 533-3128

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1023596863

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D2155750
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ARA HOLYOKE DIALYSIS CENTER
Street	36 LOWER WESTFIELD UNIT C - 153
City	HOLYOKE
State	MA
ZIP	01040
Phone	413 533-3128
CertificateType	4
CertificateEffectiveDate	10/3/2022
CertificateExpirationDate	10/2/2024
FacilityType	Waiver

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