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47D0091348 CLIA NUMBER - PRIMARY CARE HEALTH PARTNERS - VERMONT, LLP

Laboratory Demographics

CLIA Number: 47D0091348

Facility Name: PRIMARY CARE HEALTH PARTNERS - VERMONT, LLP

Facility Address:
84 WATER TOWER RD, UNIT 1
ENOSBURG FALLS, VT
ZIP 05450
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Facility Phone Number: 802 933-6664

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1902892870

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 47D0091348
LAB Type Physician Office
Facility Name PRIMARY CARE HEALTH PARTNERS - VERMONT, LLP
Street 84 WATER TOWER RD, UNIT 1
City ENOSBURG FALLS
State VT
ZIP 05450
Phone 802 933-6664
CertificateType 3
CertificateEffectiveDate 12/2/2022
CertificateExpirationDate 12/1/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024