47D2203540 CLIA NUMBER - CONFLUENCE BEHAVIORAL HEALTH LLC

Laboratory Demographics

CLIA Code: 47D2203540
Facility Name: CONFLUENCE BEHAVIORAL HEALTH LLC
Facility Address: 1646 GROVE HILL RD
THETFORD CENTER, VT
ZIP 05075
Facility Phone: 802 727-0019
Facility Type: Other - RESIDENTIAL MENTAL HEALTH
Facility Type: Waiver
Lab Director: LISA WILLEMS
NPI Number: 1427596360
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	47D2203540
LAB Type	Other - RESIDENTIAL MENTAL HEALTH
Facility Name	CONFLUENCE BEHAVIORAL HEALTH LLC
Street	1646 GROVE HILL RD
City	THETFORD CENTER
State	VT
ZIP	05075
Phone	802 727-0019
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/26/2024
Certificate Expiration Date	4/25/2026
Facility Type	Other - RESIDENTIAL MENTAL HEALTH
Lab Director	LISA WILLEMS

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