47D1052680 CLIA NUMBER - GEORGIA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 47D1052680
  • Facility Name: GEORGIA PEDIATRICS
  • Facility Address: 927 ETHAN ALLEN HWY, STE 1
    MILTON, VT
    ZIP 05468
  • Facility Phone: 802 527-2237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. VISKER
  • NPI Number: 1316993603
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 47D1052680
LAB Type Physician Office
Facility Name GEORGIA PEDIATRICS
Street 927 ETHAN ALLEN HWY, STE 1
City MILTON
State VT
ZIP 05468
Phone 802 527-2237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director MICHAEL E. VISKER

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