47D2267234 CLIA NUMBER - SWAE SKIN LLC

Laboratory Demographics

  • CLIA Code: 47D2267234
  • Facility Name: SWAE SKIN LLC
  • Facility Address: 30 FARRELL ST, STE 200
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Facility Phone: 802 310-0520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA MCGEVNA
  • NPI Number: 1588397319
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 47D2267234
LAB Type Physician Office
Facility Name SWAE SKIN LLC
Street 30 FARRELL ST, STE 200
City SOUTH BURLINGTON
State VT
ZIP 05403
Phone 802 310-0520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director LAURA MCGEVNA

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