47D2258101 CLIA NUMBER - COMMUNITY HEALTH CENTERS - ESSEX

Laboratory Demographics

CLIA Number: 47D2258101

Facility Name: COMMUNITY HEALTH CENTERS - ESSEX

Facility Address:
87 MAIN ST
ESSEX JUNCTION, VT
ZIP 05452
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Facility Phone Number: 802 864-6309

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1083832851

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	47D2258101
LAB Type	Federally Qualified Health Center
Facility Name	COMMUNITY HEALTH CENTERS - ESSEX
Street	87 MAIN ST
City	ESSEX JUNCTION
State	VT
ZIP	05452
Phone	802 864-6309
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

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