47D2107363 CLIA NUMBER - FIRST BRANCH AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 47D2107363
  • Facility Name: FIRST BRANCH AMBULANCE SERVICE
  • Facility Address: 324 VT RTE 110
    CHELSEA, VT
    ZIP 05038
  • Facility Phone: 802 685-3112
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LINDA KUBAN
  • NPI Number: 1548338866
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 47D2107363
LAB Type Ambulance
Facility Name FIRST BRANCH AMBULANCE SERVICE
Street 324 VT RTE 110
City CHELSEA
State VT
ZIP 05038
Phone 802 685-3112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Ambulance
Lab Director LINDA KUBAN

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