22D2276663 CLIA NUMBER - SHIELDS PET/CT AT BERKSHIRE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 22D2276663

Facility Name: SHIELDS PET/CT AT BERKSHIRE MEDICAL CENTER

Facility Address:
165 TOR COURT
PITTSFIELD, MA
ZIP 01201
Get Directions

Facility Phone Number: 413 997-5872

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1316463813

Taxonomy: 261QR0208X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	22D2276663
LAB Type	Other - CLINIC
Facility Name	SHIELDS PET/CT AT BERKSHIRE MEDICAL CENTER
Street	165 TOR COURT
City	PITTSFIELD
State	MA
ZIP	01201
Phone	413 997-5872
CertificateType	4
CertificateEffectiveDate	2/13/2023
CertificateExpirationDate	2/12/2025
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