47D2282739 CLIA NUMBER - BEWELL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 47D2282739
  • Facility Name: BEWELL PRIMARY CARE
  • Facility Address: 210 SOUTH ST, STE 4
    BENNINGTON, VT
    ZIP 05201
  • Facility Phone: 802 681-6423
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIFER M. STEINHOFF
  • NPI Number: 1093404329
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 47D2282739
LAB Type Practitioner Other
Facility Name BEWELL PRIMARY CARE
Street 210 SOUTH ST, STE 4
City BENNINGTON
State VT
ZIP 05201
Phone 802 681-6423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Practitioner Other
Lab Director JENNIFER M. STEINHOFF

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