47D2270242 CLIA NUMBER - SAGE WILLOW MIDWIFERY & WELLNESS PLC

Laboratory Demographics

  • CLIA Code: 47D2270242
  • Facility Name: SAGE WILLOW MIDWIFERY & WELLNESS PLC
  • Facility Address: 5053A MAIN ST
    MANCHESTER CENTER, VT
    ZIP 05255
  • Facility Phone: 802 379-5304
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: LINDSAY M. LACHANT
  • NPI Number: 1659091304
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 47D2270242
LAB Type Practitioner Other
Facility Name SAGE WILLOW MIDWIFERY & WELLNESS PLC
Street 5053A MAIN ST
City MANCHESTER CENTER
State VT
ZIP 05255
Phone 802 379-5304
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Practitioner Other
Lab Director LINDSAY M. LACHANT

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