47D0091845 CLIA NUMBER - CHCRR - CASTLETON FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 47D0091845
  • Facility Name: CHCRR - CASTLETON FAMILY HEALTH CENTER
  • Facility Address: 275 ROUTE 30 NORTH
    BOMOSEEN, VT
    ZIP 05732
  • Facility Phone: 802 468-5641
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DANIEL SIZEMORE
  • NPI Number: 1538310289
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D0091845
LAB Type Federally Qualified Health Center
Facility Name CHCRR - CASTLETON FAMILY HEALTH CENTER
Street 275 ROUTE 30 NORTH
City BOMOSEEN
State VT
ZIP 05732
Phone 802 468-5641
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Federally Qualified Health Center
Lab Director DANIEL SIZEMORE

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