47D2147562 CLIA NUMBER - NATIONAL LIFE GROUP WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 47D2147562
  • Facility Name: NATIONAL LIFE GROUP WELLNESS CENTER
  • Facility Address: 1 NATIONAL LIFE DR, M216
    MONTPELIER, VT
    ZIP 05604
  • Facility Phone: (480) 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: MORGAN LAMSON
  • NPI Number: 1780185991
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 47D2147562
LAB Type Other - OUTPATIENT
Facility Name NATIONAL LIFE GROUP WELLNESS CENTER
Street 1 NATIONAL LIFE DR, M216
City MONTPELIER
State VT
ZIP 05604
Phone 4808680646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2026
Certificate Expiration Date 4/22/2028
Facility Type Other - OUTPATIENT
Lab Director MORGAN LAMSON

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This page was last updated on: 5/18/2026