47D0964783 CLIA NUMBER - DRS PETER AND LISA HOGENKAMP

Laboratory Demographics

  • CLIA Code: 47D0964783
  • Facility Name: DRS PETER AND LISA HOGENKAMP
  • Facility Address: 10 COMMONS STREET
    RUTLAND, VT
    ZIP 05701
  • Facility Phone: 802 747-3359
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA HOGENKAMP
  • NPI Number: 1679636765
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D0964783
LAB Type Physician Office
Facility Name DRS PETER AND LISA HOGENKAMP
Street 10 COMMONS STREET
City RUTLAND
State VT
ZIP 05701
Phone 802 747-3359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director LISA HOGENKAMP

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