47D2289455 CLIA NUMBER - DR SHELLIE BURDICK

Laboratory Demographics

  • CLIA Code: 47D2289455
  • Facility Name: DR SHELLIE BURDICK
  • Facility Address: 10 BANK ST
    NORTH BENNINGTON, VT
    ZIP 05257
  • Facility Phone: (802) 732-3010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLIE BURDICK
  • NPI Number: 1376226175
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D2289455
LAB Type Physician Office
Facility Name DR SHELLIE BURDICK
Street 10 BANK ST
City NORTH BENNINGTON
State VT
ZIP 05257
Phone 8027323010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director SHELLIE BURDICK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026