47D2103618 CLIA NUMBER - OCCUPATIONAL HEALTH PARTNERS

Laboratory Demographics

CLIA Number: 47D2103618

Facility Name: OCCUPATIONAL HEALTH PARTNERS

Facility Address:
9 COMMONS STREET
RUTLAND, VT
ZIP 05701
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Facility Phone Number: 802 747-1753

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346793726

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	47D2103618
LAB Type	Physician Office
Facility Name	OCCUPATIONAL HEALTH PARTNERS
Street	9 COMMONS STREET
City	RUTLAND
State	VT
ZIP	05701
Phone	802 747-1753
CertificateType	4
CertificateEffectiveDate	10/16/2023
CertificateExpirationDate	10/15/2025
FacilityType	Waiver

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