47D0694090 CLIA NUMBER - UPPER VALLEY AMBULANCE

Laboratory Demographics

  • CLIA Code: 47D0694090
  • Facility Name: UPPER VALLEY AMBULANCE
  • Facility Address: 5445 LAKE MOREY RD
    FAIRLEE, VT
    ZIP 05045
  • Facility Phone: 802 333-4043
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CLAY ODELL
  • NPI Number: 1497864904
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 47D0694090
LAB Type Ambulance
Facility Name UPPER VALLEY AMBULANCE
Street 5445 LAKE MOREY RD
City FAIRLEE
State VT
ZIP 05045
Phone 802 333-4043
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 Ambulance
Lab Director CLAY ODELL

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