47D2041266 CLIA NUMBER - CHAMPLAIN MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 47D2041266
  • Facility Name: CHAMPLAIN MEDICAL ASSOCIATES
  • Facility Address: 150 KENNEDY DR
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Facility Phone: 802 448-9370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA SCHWARTZBERG
  • NPI Number: 1013273697
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D2041266
LAB Type Physician Office
Facility Name CHAMPLAIN MEDICAL ASSOCIATES
Street 150 KENNEDY DR
City SOUTH BURLINGTON
State VT
ZIP 05403
Phone 802 448-9370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director JOSHUA SCHWARTZBERG

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