47D2204318 CLIA NUMBER - COLLABORATIVE SOLUTIONS CORPORATION SECOND SPRING

Laboratory Demographics

  • CLIA Code: 47D2204318
  • Facility Name: COLLABORATIVE SOLUTIONS CORPORATION SECOND SPRING
  • Facility Address: 118 CLARK ROAD
    WILLIAMSTOWN, VT
    ZIP 05679
  • Facility Phone: 802 433-6183
  • Facility Type: Other - TCR
  • Facility Type: Waiver
  • Lab Director: SCOTT ASCUS
  • NPI Number: 1376220178
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 47D2204318
LAB Type Other - TCR
Facility Name COLLABORATIVE SOLUTIONS CORPORATION SECOND SPRING
Street 118 CLARK ROAD
City WILLIAMSTOWN
State VT
ZIP 05679
Phone 802 433-6183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - TCR
Lab Director SCOTT ASCUS

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