22D2294664 CLIA NUMBER - CENTER FOR HUMAN DEVELOPMENT

Laboratory Demographics

  • CLIA Code: 22D2294664
  • Facility Name: CENTER FOR HUMAN DEVELOPMENT
  • Facility Address: 246 PARK STREET
    WEST SPRINGFIELD, MA
    ZIP 01089
  • Facility Phone: 413 733-6624
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: EDWARD BALLIS
  • NPI Number: 1861250953
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2294664
LAB Type Community Clinic
Facility Name CENTER FOR HUMAN DEVELOPMENT
Street 246 PARK STREET
City WEST SPRINGFIELD
State MA
ZIP 01089
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 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Community Clinic
Lab Director EDWARD BALLIS

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