47D1094791 CLIA NUMBER - BENNINGTON CBOC

Laboratory Demographics

  • CLIA Code: 47D1094791
  • Facility Name: BENNINGTON CBOC
  • Facility Address: 186 NORTH ST
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 447-6913
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DANA WOLINSKI
  • NPI Number: 1700835741
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D1094791
LAB Type Ambulatory Surgery Center
Facility Name BENNINGTON CBOC
Street 186 NORTH ST
City BENNINGTON
State VT
ZIP 05201
Phone 802 447-6913
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/27/2009
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director DANA WOLINSKI

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