22D2273373 CLIA NUMBER - CENTER FOR HUMAN DEVELOPMENT

Laboratory Demographics

  • CLIA Code: 22D2273373
  • Facility Name: CENTER FOR HUMAN DEVELOPMENT
  • Facility Address: 1109 GRANDBY RD
    CHICOPEE, MA
    ZIP 01020
  • Facility Phone: 413 733-6624
  • Facility Type: Other - MENTAL HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: EDWARD BALLIS
  • NPI Number: 1912099219
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 22D2273373
LAB Type Other - MENTAL HEALTH CLINIC
Facility Name CENTER FOR HUMAN DEVELOPMENT
Street 1109 GRANDBY RD
City CHICOPEE
State MA
ZIP 01020
Phone 413 733-6624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Other - MENTAL HEALTH CLINIC
Lab Director EDWARD BALLIS

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