47D0090551 CLIA NUMBER - UPPER VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 47D0090551
  • Facility Name: UPPER VALLEY PEDIATRICS
  • Facility Address: 331 UPPER PLAIN
    BRADFORD, VT
    ZIP 05033
  • Facility Phone: 802 222-4722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA L. YUKICA
  • NPI Number: 1477935716
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D0090551
LAB Type Physician Office
Facility Name UPPER VALLEY PEDIATRICS
Street 331 UPPER PLAIN
City BRADFORD
State VT
ZIP 05033
Phone 802 222-4722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director REBECCA L. YUKICA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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