47D0090617 CLIA NUMBER - WHITE RIVER FAMILY PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 47D0090617
  • Facility Name: WHITE RIVER FAMILY PRACTICE, PC
  • Facility Address: 331 OLCOTT DRIVE SUITE U3
    WHITE RIVER JUNCTION, VT
    ZIP 05001
  • Facility Phone: 802 295-6132
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JULIE DAVIS
  • NPI Number: 1518032564
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D0090617
LAB Type Physician Office
Facility Name WHITE RIVER FAMILY PRACTICE, PC
Street 331 OLCOTT DRIVE SUITE U3
City WHITE RIVER JUNCTION
State VT
ZIP 05001
Phone 802 295-6132
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director JULIE DAVIS

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