47D1106519 CLIA NUMBER - NORTHFIELD AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 47D1106519
  • Facility Name: NORTHFIELD AMBULANCE SERVICE
  • Facility Address: 51 SOUTH MAIN STREET
    NORTHFIELD, VT
    ZIP 05663
  • Facility Phone: 802 485-8550
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES H. BARAW
  • NPI Number: 1275574675
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 47D1106519
LAB Type Ambulance
Facility Name NORTHFIELD AMBULANCE SERVICE
Street 51 SOUTH MAIN STREET
City NORTHFIELD
State VT
ZIP 05663
Phone 802 485-8550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Ambulance
Lab Director JAMES H. BARAW

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