47D0090742 CLIA NUMBER - MANINDRA N GHOSH, PLLC

Laboratory Demographics

  • CLIA Code: 47D0090742
  • Facility Name: MANINDRA N GHOSH, PLLC
  • Facility Address: 194 NORTH ST
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 681-7985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANINDRA N. GHOSH
  • NPI Number: 1477598738
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 47D0090742
LAB Type Physician Office
Facility Name MANINDRA N GHOSH, PLLC
Street 194 NORTH ST
City BENNINGTON
State VT
ZIP 05201
Phone 802 681-7985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director MANINDRA N. GHOSH

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