47D2139288 CLIA NUMBER - VALLEY VISTA VERGENNES

Laboratory Demographics

  • CLIA Code: 47D2139288
  • Facility Name: VALLEY VISTA VERGENNES
  • Facility Address: 1 ALDEN PLACE
    VERGENNES, VT
    ZIP 05491
  • Facility Phone: 802 222-5201
  • Facility Type: Other - I/P ADDICTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: SUSAN SMIGA
  • NPI Number: 1396808499
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 47D2139288
LAB Type Other - I/P ADDICTION TREATMENT
Facility Name VALLEY VISTA VERGENNES
Street 1 ALDEN PLACE
City VERGENNES
State VT
ZIP 05491
Phone 802 222-5201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other - I/P ADDICTION TREATMENT
Lab Director SUSAN SMIGA

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