47D2091422 CLIA NUMBER - CLEARCHOICEMD URGENT CARE

Laboratory Demographics

  • CLIA Code: 47D2091422
  • Facility Name: CLEARCHOICEMD URGENT CARE
  • Facility Address: 1200 WILLISTON RD
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Facility Phone: 603 526-4635
  • Facility Type: Other - URGENT CARE CTR
  • Facility Type: Waiver
  • Lab Director: MARK DURCAN
  • NPI Number: 1033741517
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 47D2091422
LAB Type Other - URGENT CARE CTR
Facility Name CLEARCHOICEMD URGENT CARE
Street 1200 WILLISTON RD
City SOUTH BURLINGTON
State VT
ZIP 05403
Phone 603 526-4635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Other - URGENT CARE CTR
Lab Director MARK DURCAN

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