47D0090903 CLIA NUMBER - BRATTLEBORO RETREAT

Laboratory Demographics

  • CLIA Code: 47D0090903
  • Facility Name: BRATTLEBORO RETREAT
  • Facility Address: 1 ANNA MARSH LANE
    BRATTLEBORO, VT
    ZIP 05302
  • Facility Phone: 802 258-6808
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ELIZABETH KILGOUR
  • NPI Number: 1730185232
  • Taxonomy: 283Q00000X - Psychiatric Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D0090903
LAB Type Hospital
Facility Name BRATTLEBORO RETREAT
Street 1 ANNA MARSH LANE
City BRATTLEBORO
State VT
ZIP 05302
Phone 802 258-6808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Hospital
Lab Director ELIZABETH KILGOUR

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