22D2285640 CLIA NUMBER - BERKSHIRE MOBILE MEDICINE DBA GREYLOCK MEDICAL

Laboratory Demographics

  • CLIA Code: 22D2285640
  • Facility Name: BERKSHIRE MOBILE MEDICINE DBA GREYLOCK MEDICAL
  • Facility Address: 20 WILLIAMSTOWN ROAD, #4
    LANESBORO, MA
    ZIP 01237
  • Facility Phone: 413 445-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY KELLOGG
  • NPI Number: 1972853604
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 22D2285640
LAB Type Physician Office
Facility Name BERKSHIRE MOBILE MEDICINE DBA GREYLOCK MEDICAL
Street 20 WILLIAMSTOWN ROAD, #4
City LANESBORO
State MA
ZIP 01237
Phone 413 445-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director JEFFREY KELLOGG

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