22D2320503 CLIA NUMBER - CHAPIN AMBULANCE LLC

Laboratory Demographics

  • CLIA Code: 22D2320503
  • Facility Name: CHAPIN AMBULANCE LLC
  • Facility Address: 22 TYLER STREET
    SPRINGFIELD, MA
    ZIP 01109
  • Facility Phone: 413 209-8830
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PAVEL K. GUT
  • NPI Number: 1497413124
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D2320503
LAB Type Ambulance
Facility Name CHAPIN AMBULANCE LLC
Street 22 TYLER STREET
City SPRINGFIELD
State MA
ZIP 01109
Phone 413 209-8830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Ambulance
Lab Director PAVEL K. GUT

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