47D0978448 CLIA NUMBER - RAINBOW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 47D0978448
  • Facility Name: RAINBOW PEDIATRICS
  • Facility Address: 99 COURT ST, STE 1
    MIDDLEBURY, VT
    ZIP 05753
  • Facility Phone: 802 388-1338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMMY BAKER
  • NPI Number: 1649216268
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 47D0978448
LAB Type Physician Office
Facility Name RAINBOW PEDIATRICS
Street 99 COURT ST, STE 1
City MIDDLEBURY
State VT
ZIP 05753
Phone 802 388-1338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director TAMMY BAKER

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