22D2304680 CLIA NUMBER - OTIS RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 22D2304680
  • Facility Name: OTIS RESCUE SQUAD
  • Facility Address: 15 S MAIN RD
    OTIS, MA
    ZIP 01253
  • Facility Phone: 413 269-4409
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRITTANY C. PHAIR
  • NPI Number: 1447237557
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D2304680
LAB Type Ambulance
Facility Name OTIS RESCUE SQUAD
Street 15 S MAIN RD
City OTIS
State MA
ZIP 01253
Phone 413 269-4409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Ambulance
Lab Director BRITTANY C. PHAIR

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