47D1006706 CLIA NUMBER - PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND

Laboratory Demographics

CLIA Number: 47D1006706

Facility Name: PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND

Facility Address:
75 TALCOTT RD
WILLISTON, VT
ZIP 05495
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Facility Phone Number: 802 863-6326

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1487045506

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	47D1006706
LAB Type	Practitioner Other
Facility Name	PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
Street	75 TALCOTT RD
City	WILLISTON
State	VT
ZIP	05495
Phone	802 863-6326
CertificateType	3
CertificateEffectiveDate	11/26/2022
CertificateExpirationDate	11/25/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024