47D0951326 CLIA NUMBER - KEITH MICHL MD

Laboratory Demographics

  • CLIA Code: 47D0951326
  • Facility Name: KEITH MICHL MD
  • Facility Address: 7252 MAIN STREET PO BOX 1431
    MANCHESTER CENTER, VT
    ZIP 05255
  • Facility Phone: 802 362-9031
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH W. MICHL
  • NPI Number: 1700850831
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D0951326
LAB Type Physician Office
Facility Name KEITH MICHL MD
Street 7252 MAIN STREET PO BOX 1431
City MANCHESTER CENTER
State VT
ZIP 05255
Phone 802 362-9031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director KEITH W. MICHL

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