22D2273096 CLIA NUMBER - CENTER FOR HUMAN DEVELOPMENT

Laboratory Demographics

  • CLIA Code: 22D2273096
  • Facility Name: CENTER FOR HUMAN DEVELOPMENT
  • Facility Address: 104 MASS AVE
    SPRINGFIELD, MA
    ZIP 01109
  • Facility Phone: 413 773-6624
  • Facility Type: Other - COMMUNITY CRISIS STABILIZ
  • Facility Type: Waiver
  • Lab Director: JALIL A. JOHNSON
  • NPI Number: 1578817169
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 22D2273096
LAB Type Other - COMMUNITY CRISIS STABILIZ
Facility Name CENTER FOR HUMAN DEVELOPMENT
Street 104 MASS AVE
City SPRINGFIELD
State MA
ZIP 01109
Phone 413 773-6624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Other - COMMUNITY CRISIS STABILIZ
Lab Director JALIL A. JOHNSON

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