22D2206810 CLIA NUMBER - MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL

Laboratory Demographics

  • CLIA Code: 22D2206810
  • Facility Name: MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL
  • Facility Address: 424 STATE RD
    WEST TISBURY, MA
    ZIP 02575
  • Facility Phone: 508 693-9900
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TRACI L. MONTEITH
  • NPI Number: 1366573198
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 22D2206810
LAB Type School/Student Health Service
Facility Name MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL
Street 424 STATE RD
City WEST TISBURY
State MA
ZIP 02575
Phone 508 693-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type School/Student Health Service
Lab Director TRACI L. MONTEITH

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