47D0876078 CLIA NUMBER - MERTENS HOUSE

Laboratory Demographics

  • CLIA Code: 47D0876078
  • Facility Name: MERTENS HOUSE
  • Facility Address: 73 RIVER STREET
    WOODSTOCK, VT
    ZIP 05091
  • Facility Phone: (802) 457-4411
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEVEN B. SMITH
  • NPI Number: 1861488520
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 47D0876078
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MERTENS HOUSE
Street 73 RIVER STREET
City WOODSTOCK
State VT
ZIP 05091
Phone 8024574411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEVEN B. SMITH

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This page was last updated on: 5/18/2026