47D2198043 CLIA NUMBER - BROOKDALE FILLMORE POND

Laboratory Demographics

  • CLIA Code: 47D2198043
  • Facility Name: BROOKDALE FILLMORE POND
  • Facility Address: 300 VILLAGE LN
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 447-7000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LYNNE STRATTON
  • NPI Number: 1861776080
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D2198043
LAB Type Assisted Living Facility
Facility Name BROOKDALE FILLMORE POND
Street 300 VILLAGE LN
City BENNINGTON
State VT
ZIP 05201
Phone 802 447-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Assisted Living Facility
Lab Director LYNNE STRATTON

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