Healther Providers Data Logo

47D2041266 CLIA NUMBER - CHAMPLAIN MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 47D2041266

Facility Name: CHAMPLAIN MEDICAL ASSOCIATES

Facility Address:
150 KENNEDY DR
SOUTH BURLINGTON, VT
ZIP 05403
Get Directions

Facility Phone Number: 802 448-9370

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1013273697

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType 4
CertificateEffectiveDate 5/21/2022
CertificateExpirationDate 5/20/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024