47D2315424 CLIA NUMBER - TREE OF LIFE MEDICINE

Laboratory Demographics

  • CLIA Code: 47D2315424
  • Facility Name: TREE OF LIFE MEDICINE
  • Facility Address: 174 ELM ST
    MONTPELIER, VT
    ZIP 05602
  • Facility Phone: 802 505-0597
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIEL ARCHDEACON
  • NPI Number: 1831409291
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 47D2315424
LAB Type Physician Office
Facility Name TREE OF LIFE MEDICINE
Street 174 ELM ST
City MONTPELIER
State VT
ZIP 05602
Phone 802 505-0597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director GABRIEL ARCHDEACON

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