47D2019446 CLIA NUMBER - BRATTLEBORO FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 47D2019446
  • Facility Name: BRATTLEBORO FAMILY MEDICINE
  • Facility Address: 21 BELMONT AVE, 1ST FL
    BRATTLEBORO, VT
    ZIP 05301
  • Facility Phone: 802 251-8455
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALICE W. KAUFMAN
  • NPI Number: 1952517823
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 47D2019446
LAB Type Physician Office
Facility Name BRATTLEBORO FAMILY MEDICINE
Street 21 BELMONT AVE, 1ST FL
City BRATTLEBORO
State VT
ZIP 05301
Phone 802 251-8455
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director ALICE W. KAUFMAN

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