47D0904603 CLIA NUMBER - PORTER HOSPITAL NURSING SERVICE

Laboratory Demographics

  • CLIA Code: 47D0904603
  • Facility Name: PORTER HOSPITAL NURSING SERVICE
  • Facility Address: 115 PORTER DR
    MIDDLEBURY, VT
    ZIP 05753
  • Facility Phone: 802 388-3414
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: VLADA ALEXEEVA
  • NPI Number: 1609896935
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D0904603
LAB Type Hospital
Facility Name PORTER HOSPITAL NURSING SERVICE
Street 115 PORTER DR
City MIDDLEBURY
State VT
ZIP 05753
Phone 802 388-3414
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Hospital
Lab Director VLADA ALEXEEVA

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