47D2152213 CLIA NUMBER - GREEN MOUNTAIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 47D2152213
  • Facility Name: GREEN MOUNTAIN SURGERY CENTER
  • Facility Address: 593 HERCULES DR
    COLCHESTER, VT
    ZIP 05446
  • Facility Phone: 802 488-5350
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMY COOPER
  • NPI Number: 1508342114
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D2152213
LAB Type Ambulatory Surgery Center
Facility Name GREEN MOUNTAIN SURGERY CENTER
Street 593 HERCULES DR
City COLCHESTER
State VT
ZIP 05446
Phone 802 488-5350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Ambulatory Surgery Center
Lab Director AMY COOPER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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