46D0713206 CLIA NUMBER - NORTHWESTERN OBGYN

Laboratory Demographics

CLIA Number: 46D0713206

Facility Name: NORTHWESTERN OBGYN

Facility Address:
133 FAIRFIELD ST
ST ALBANS, VT
ZIP 05478
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Facility Phone Number: 802 524-1233

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1497129993

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	46D0713206
LAB Type	Physician Office
Facility Name	NORTHWESTERN OBGYN
Street	133 FAIRFIELD ST
City	ST ALBANS
State	VT
ZIP	05478
Phone	802 524-1233
CertificateType	3
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024