47D2063647 CLIA NUMBER - SOUTHWEST VERMONT MEDICAL CENTER-DERMATOLOGY

Home > CLIA Lookup > 47D2063647

Laboratory Demographics

CLIA Number: 47D2063647

Facility Name: SOUTHWEST VERMONT MEDICAL CENTER-DERMATOLOGY

Facility Address:
140 HOSPITAL DR, STE 205
BENNINGTON, VT
ZIP 05201
Get Directions

Facility Phone Number: 802 447-5213

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1932219961

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	47D2063647
LAB Type	Physician Office
Facility Name	SOUTHWEST VERMONT MEDICAL CENTER-DERMATOLOGY
Street	140 HOSPITAL DR, STE 205
City	BENNINGTON
State	VT
ZIP	05201
Phone	802 447-5213
CertificateType	3
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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