47D0677186 CLIA NUMBER - MIDDLEBURY FAMILY HEALTH

Laboratory Demographics

CLIA Number: 47D0677186

Facility Name: MIDDLEBURY FAMILY HEALTH

Facility Address:
1330 EXCHANGE ST, STE 201
MIDDLEBURY, VT
ZIP 05753
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Facility Phone Number: 802 388-1500

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1396857728

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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
CertificateType	2
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024