47D0683035 CLIA NUMBER - BETHEL HEALTH CENTER

Laboratory Demographics

CLIA Number: 47D0683035

Facility Name: BETHEL HEALTH CENTER

Facility Address:
1823 VERMONT ROUTE 107
BETHEL, VT
ZIP 05032
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Facility Phone Number: 802 234-9913

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1659701571

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	47D0683035
LAB Type	Federally Qualified Health Center
Facility Name	BETHEL HEALTH CENTER
Street	1823 VERMONT ROUTE 107
City	BETHEL
State	VT
ZIP	05032
Phone	802 234-9913
CertificateType	3
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	PPMP

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