47D0681231 CLIA NUMBER - VERMONT VETERANS HOME

Laboratory Demographics

  • CLIA Code: 47D0681231
  • Facility Name: VERMONT VETERANS HOME
  • Facility Address: 325 NORTH ST ATTN MELISSA JACKSON
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 442-6353
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA A. JACKSON
  • NPI Number: 1023090651
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D0681231
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VERMONT VETERANS HOME
Street 325 NORTH ST ATTN MELISSA JACKSON
City BENNINGTON
State VT
ZIP 05201
Phone 802 442-6353
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 MELISSA A. JACKSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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