22D2263182 CLIA NUMBER - SPRINGFIELD PREP CHARTER SCHOOL

Laboratory Demographics

  • CLIA Code: 22D2263182
  • Facility Name: SPRINGFIELD PREP CHARTER SCHOOL
  • Facility Address: 2071 ROOSEVELT AVE
    SPRINGFIELD, MA
    ZIP 01104
  • Facility Phone: 413 231-2722
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DAWN M. BOWLER
  • NPI Number: 1750755856
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 22D2263182
LAB Type School/Student Health Service
Facility Name SPRINGFIELD PREP CHARTER SCHOOL
Street 2071 ROOSEVELT AVE
City SPRINGFIELD
State MA
ZIP 01104
Phone 413 231-2722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type School/Student Health Service
Lab Director DAWN M. BOWLER

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