47D0986255 CLIA NUMBER - VERMONT DERMATOPATHOLOGY

Laboratory Demographics

  • CLIA Code: 47D0986255
  • Facility Name: VERMONT DERMATOPATHOLOGY
  • Facility Address: 30 FARRELL ST - SUITE 202
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Facility Phone: 802 658-6269
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CATHERINE M. ANTLEY
  • NPI Number: 1003985821
  • Taxonomy: 207ZD0900X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 47D0986255
LAB Type Physician Office
Facility Name VERMONT DERMATOPATHOLOGY
Street 30 FARRELL ST - SUITE 202
City SOUTH BURLINGTON
State VT
ZIP 05403
Phone 802 658-6269
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DR. CATHERINE M. ANTLEY

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