47D0687327 CLIA NUMBER - TIMOTHY SHAFER MD

Laboratory Demographics

  • CLIA Code: 47D0687327
  • Facility Name: TIMOTHY SHAFER MD
  • Facility Address: PO BOX 216
    TOWNSHEND, VT
    ZIP 05353
  • Facility Phone: 802 365-4354
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY P. SHAFER MD
  • NPI Number: 1053301721
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D0687327
LAB Type Physician Office
Facility Name TIMOTHY SHAFER MD
Street PO BOX 216
City TOWNSHEND
State VT
ZIP 05353
Phone 802 365-4354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director TIMOTHY P. SHAFER MD

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