47D1094793 CLIA NUMBER - RUTLAND VA CBOC

Laboratory Demographics

  • CLIA Code: 47D1094793
  • Facility Name: RUTLAND VA CBOC
  • Facility Address: 232 WEST STREET
    RUTLAND, VT
    ZIP 05701
  • Facility Phone: (802) 770-6713
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: MARY CLARK
  • NPI Number: 1457319816
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 47D1094793
LAB Type Ambulatory Surgery Center
Facility Name RUTLAND VA CBOC
Street 232 WEST STREET
City RUTLAND
State VT
ZIP 05701
Phone 8027706713
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 MARY CLARK

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This page was last updated on: 5/18/2026