47D2313485 CLIA NUMBER - ENOSBURG HEALTH CENTER RICHFORD HEALTH CENTER, THE

Laboratory Demographics

  • CLIA Code: 47D2313485
  • Facility Name: ENOSBURG HEALTH CENTER RICHFORD HEALTH CENTER, THE
  • Facility Address: 382 MAIN ST
    ENOSBURG, VT
    ZIP 05450
  • Facility Phone: 802 255-5572
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: ERICK LAVALLEE
  • NPI Number: 1851475651
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 47D2313485
LAB Type Federally Qualified Health Center
Facility Name ENOSBURG HEALTH CENTER RICHFORD HEALTH CENTER, THE
Street 382 MAIN ST
City ENOSBURG
State VT
ZIP 05450
Phone 802 255-5572
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 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Federally Qualified Health Center
Lab Director ERICK LAVALLEE

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