47D0677186 CLIA NUMBER - MIDDLEBURY FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 47D0677186
  • Facility Name: MIDDLEBURY FAMILY HEALTH
  • Facility Address: 1330 EXCHANGE ST, STE 201
    MIDDLEBURY, VT
    ZIP 05753
  • Facility Phone: 802 388-1500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LINN M. LARSON
  • NPI Number: 1396857728
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 47D0677186
LAB Type Physician Office
Facility Name MIDDLEBURY FAMILY HEALTH
Street 1330 EXCHANGE ST, STE 201
City MIDDLEBURY
State VT
ZIP 05753
Phone 802 388-1500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director LINN M. LARSON

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