47D2239250 CLIA NUMBER - NORTHERN MOUNTAIN VALLEY UUSD - U085

Laboratory Demographics

CLIA Number: 47D2239250

Facility Name: NORTHERN MOUNTAIN VALLEY UUSD - U085

Facility Address:
80 MAIN STREET
RICHFORD, VT
ZIP 05476
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Facility Phone Number: 802 848-7661

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1881351773

Taxonomy: 261QH0700X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

CLIA Record

Field Name	Field Value
CLIA Number	47D2239250
LAB Type	School/Student Health Service
Facility Name	NORTHERN MOUNTAIN VALLEY UUSD - U085
Street	80 MAIN STREET
City	RICHFORD
State	VT
ZIP	05476
Phone	802 848-7661
CertificateType	4
CertificateEffectiveDate	10/11/2023
CertificateExpirationDate	10/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024