47D0664228 CLIA NUMBER - BENNINGTON HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 47D0664228
  • Facility Name: BENNINGTON HEALTH & REHAB
  • Facility Address: 2 BLACKBERRY LN
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 442-8525
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESPER BRICKLEY
  • NPI Number: 1831574052
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 47D0664228
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENNINGTON HEALTH & REHAB
Street 2 BLACKBERRY LN
City BENNINGTON
State VT
ZIP 05201
Phone 802 442-8525
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 JESPER BRICKLEY

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