22D2200219 CLIA NUMBER - THEODORE ZERVAS DMD

Laboratory Demographics

  • CLIA Code: 22D2200219
  • Facility Name: THEODORE ZERVAS DMD
  • Facility Address: 55 FEDERAL ST
    GREENFIELD, MA
    ZIP 01301
  • Facility Phone: 413 772-0884
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: THEODORE J. ZERVAS
  • NPI Number: 1093821159
  • Taxonomy: 1223G0001X - Dentist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Practitioner Other
Lab Director THEODORE J. ZERVAS

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