47D2203855 CLIA NUMBER - THE HOMESTEAD INC

Laboratory Demographics

  • CLIA Code: 47D2203855
  • Facility Name: THE HOMESTEAD INC
  • Facility Address: 73 RIVER STREET
    WOODSTOCK, VT
    ZIP 05091
  • Facility Phone: 802 457-1310
  • Facility Type: Other - RESIDENTIAL CARE
  • Facility Type: Waiver
  • Lab Director: KIM JACOBS
  • NPI Number: 1720114168
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 47D2203855
LAB Type Other - RESIDENTIAL CARE
Facility Name THE HOMESTEAD INC
Street 73 RIVER STREET
City WOODSTOCK
State VT
ZIP 05091
Phone 802 457-1310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Other - RESIDENTIAL CARE
Lab Director KIM JACOBS

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