47D2029471 CLIA NUMBER - RICHMOND FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 47D2029471
  • Facility Name: RICHMOND FAMILY MEDICINE
  • Facility Address: 30 WEST MAIN ST
    RICHMOND, VT
    ZIP 05477
  • Facility Phone: 802 434-4123
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DANIEL M. GOODYEAR
  • NPI Number: 1790766467
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 47D2029471
LAB Type Physician Office
Facility Name RICHMOND FAMILY MEDICINE
Street 30 WEST MAIN ST
City RICHMOND
State VT
ZIP 05477
Phone 802 434-4123
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 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director DR. DANIEL M. GOODYEAR

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