22D2320978 CLIA NUMBER - COLRAIN VOLUNTEER AMBULANCE ASSOCIATION, INC

Laboratory Demographics

  • CLIA Code: 22D2320978
  • Facility Name: COLRAIN VOLUNTEER AMBULANCE ASSOCIATION, INC
  • Facility Address: 51 MAIN ROAD
    COLRAIN, MA
    ZIP 01340
  • Facility Phone: 413 223-9212
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GARY W. PONCE
  • NPI Number: 1205823085
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 22D2320978
LAB Type Ambulance
Facility Name COLRAIN VOLUNTEER AMBULANCE ASSOCIATION, INC
Street 51 MAIN ROAD
City COLRAIN
State MA
ZIP 01340
Phone 413 223-9212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director GARY W. PONCE

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