22D2196237 CLIA NUMBER - CHP DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 22D2196237
  • Facility Name: CHP DENTAL CENTER
  • Facility Address: 343 MAIN STREET, SUITE 101
    GREAT BARRINGTON, MA
    ZIP 01230
  • Facility Phone: 413 528-9311
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. GIRO SAMALE
  • NPI Number: 1588917041
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2196237
LAB Type Federally Qualified Health Center
Facility Name CHP DENTAL CENTER
Street 343 MAIN STREET, SUITE 101
City GREAT BARRINGTON
State MA
ZIP 01230
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 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Federally Qualified Health Center
Lab Director DR. GIRO SAMALE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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