47D2203543 CLIA NUMBER - MANSFIELD PLACE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 47D2203543
  • Facility Name: MANSFIELD PLACE ASSISTED LIVING
  • Facility Address: 18 CARMICHAEL STREET
    ESSEX JUNCTION, VT
    ZIP 05452
  • Facility Phone: 802 662-2410
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MAUREEN ELLISON
  • NPI Number: 1356755102
  • Taxonomy: 3104A0630X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D2203543
LAB Type Assisted Living Facility
Facility Name MANSFIELD PLACE ASSISTED LIVING
Street 18 CARMICHAEL STREET
City ESSEX JUNCTION
State VT
ZIP 05452
Phone 802 662-2410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Assisted Living Facility
Lab Director MAUREEN ELLISON

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