22D2200219 CLIA NUMBER - THEODORE ZERVAS DMD

Home > CLIA Lookup > 22D2200219

Laboratory Demographics

CLIA Number: 22D2200219

Facility Name: THEODORE ZERVAS DMD

Facility Address:
55 FEDERAL ST
GREENFIELD, MA
ZIP 01301
Get Directions

Facility Phone Number: 413 772-0884

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1093821159

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	22D2200219
LAB Type	Practitioner Other
Facility Name	THEODORE ZERVAS DMD
Street	55 FEDERAL ST
City	GREENFIELD
State	MA
ZIP	01301
Phone	413 772-0884
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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