22D2318827 CLIA NUMBER - RIVERSIDEPARK EMS

Laboratory Demographics

  • CLIA Code: 22D2318827
  • Facility Name: RIVERSIDEPARK EMS
  • Facility Address: 1623 MAIN STREET
    AGAWAM, MA
    ZIP 01001
  • Facility Phone: 413 786-9300
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARIE PROVOST
  • NPI Number: 1821530544
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D2318827
LAB Type Ambulance
Facility Name RIVERSIDEPARK EMS
Street 1623 MAIN STREET
City AGAWAM
State MA
ZIP 01001
Phone 413 786-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Ambulance
Lab Director MARIE PROVOST

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