47D0091911 CLIA NUMBER - MICHAEL E SCOVNER MD PC

Laboratory Demographics

  • CLIA Code: 47D0091911
  • Facility Name: MICHAEL E SCOVNER MD PC
  • Facility Address: 236 MAIN STREET
    POULTNEY, VT
    ZIP 05764
  • Facility Phone: 802 287-2269
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. SCOVNER
  • NPI Number: 1376615534
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D0091911
LAB Type Physician Office
Facility Name MICHAEL E SCOVNER MD PC
Street 236 MAIN STREET
City POULTNEY
State VT
ZIP 05764
Phone 802 287-2269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director MICHAEL E. SCOVNER

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