47D2296788 CLIA NUMBER - MANCHESTER DIRECT FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 47D2296788
  • Facility Name: MANCHESTER DIRECT FAMILY PRACTICE LLC
  • Facility Address: 32 CENTER HILL RD
    MANCHESTER CENTER, VT
    ZIP 05255
  • Facility Phone: 262 957-4303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEIGH S. LOPRESTI
  • NPI Number: 1659591774
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 47D2296788
LAB Type Physician Office
Facility Name MANCHESTER DIRECT FAMILY PRACTICE LLC
Street 32 CENTER HILL RD
City MANCHESTER CENTER
State VT
ZIP 05255
Phone 262 957-4303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director LEIGH S. LOPRESTI

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