47D0987230 CLIA NUMBER - MEMORY CLINIC,THE

Laboratory Demographics

  • CLIA Code: 47D0987230
  • Facility Name: MEMORY CLINIC,THE
  • Facility Address: 357 SHIELDS DRIVE
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 447-1409
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LISA CATAPANO-FRIEDMAN
  • NPI Number: 1205359213
  • Taxonomy: 2084B0040X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D0987230
LAB Type Other
Facility Name MEMORY CLINIC,THE
Street 357 SHIELDS DRIVE
City BENNINGTON
State VT
ZIP 05201
Phone 802 447-1409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Other
Lab Director LISA CATAPANO-FRIEDMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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