47D2239446 CLIA NUMBER - MILTON - T126

Laboratory Demographics

  • CLIA Code: 47D2239446
  • Facility Name: MILTON - T126
  • Facility Address: 41 HERRICK AVENUE
    MILTON, VT
    ZIP 05468
  • Facility Phone: 802 893-5302
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: AMY REX
  • NPI Number: 1851787345
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 47D2239446
LAB Type School/Student Health Service
Facility Name MILTON - T126
Street 41 HERRICK AVENUE
City MILTON
State VT
ZIP 05468
Phone 802 893-5302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type School/Student Health Service
Lab Director AMY REX

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