47D0090766 CLIA NUMBER - GREEN MOUNTAIN PEDIATRICS PC JUDY K ORTON MD

Laboratory Demographics

  • CLIA Code: 47D0090766
  • Facility Name: GREEN MOUNTAIN PEDIATRICS PC JUDY K ORTON MD
  • Facility Address: 901 MAIN ST
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 442-6057
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDY K. ORTON
  • NPI Number: 1073617783
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D0090766
LAB Type Physician Office
Facility Name GREEN MOUNTAIN PEDIATRICS PC JUDY K ORTON MD
Street 901 MAIN ST
City BENNINGTON
State VT
ZIP 05201
Phone 802 442-6057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director JUDY K. ORTON

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