47D0090719 CLIA NUMBER - SPRINGFIELD HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 47D0090719
  • Facility Name: SPRINGFIELD HEALTH AND REHAB
  • Facility Address: 105 CHESTER RD
    SPRINGFIELD, VT
    ZIP 05156
  • Facility Phone: 802 885-5741
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: OPAL DACOSTA
  • NPI Number: 1598132730
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 47D0090719
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRINGFIELD HEALTH AND REHAB
Street 105 CHESTER RD
City SPRINGFIELD
State VT
ZIP 05156
Phone 802 885-5741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director OPAL DACOSTA

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