47D1035409 CLIA NUMBER - VERMONT C A R E S

Laboratory Demographics

  • CLIA Code: 47D1035409
  • Facility Name: VERMONT C A R E S
  • Facility Address: 187 SAINT PAUL STREET
    BURLINGTON, VT
    ZIP 05401
  • Facility Phone: 802 863-2437
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHAYNE GALLOWAY
  • NPI Number: 1265717409
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 47D1035409
LAB Type Community Clinic
Facility Name VERMONT C A R E S
Street 187 SAINT PAUL STREET
City BURLINGTON
State VT
ZIP 05401
Phone 802 863-2437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Community Clinic
Lab Director SHAYNE GALLOWAY

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This page was last updated on: 6/4/2025