47D0092006 CLIA NUMBER - PINES REHABILITATION & HEALTH CTR,THE

Laboratory Demographics

  • CLIA Code: 47D0092006
  • Facility Name: PINES REHABILITATION & HEALTH CTR,THE
  • Facility Address: 601 RED VILLAGE RD
    LYNDONVILLE, VT
    ZIP 05851
  • Facility Phone: 802 626-3361
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRAVIS BERGERON
  • NPI Number: 1225000383
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 47D0092006
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINES REHABILITATION & HEALTH CTR,THE
Street 601 RED VILLAGE RD
City LYNDONVILLE
State VT
ZIP 05851
Phone 802 626-3361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRAVIS BERGERON

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