22D2318340 CLIA NUMBER - SOUTHWICK FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 22D2318340
  • Facility Name: SOUTHWICK FIRE DEPARTMENT
  • Facility Address: 15 DEPOT STREET
    SOUTHWICK, MA
    ZIP 01077
  • Facility Phone: 413 569-6363
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JESSICA L. BISHOP
  • NPI Number: 1598118200
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2318340
LAB Type Ambulance
Facility Name SOUTHWICK FIRE DEPARTMENT
Street 15 DEPOT STREET
City SOUTHWICK
State MA
ZIP 01077
Phone 413 569-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Ambulance
Lab Director JESSICA L. BISHOP

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