CLIA lab

CLIA 47D0090617: White River Family Practice

White River Junction, VT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 47D0090617 belongs to White River Family Practice in White River Junction, VT.

Certificate of Waiver, effective January 1, 2026, expires December 31, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 1, 2026
Certificate expiration
December 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
47D0090617
Lab name
White River Family Practice
Address
331 Olcott Dr, Ste U3, White River Junction, VT 05001
Phone
(802) 295-6132
Fax
(802) 295-1358

Annual test volume the lab reported

Waived tests
5,100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in White River Junction, VT

Related

Questions

What is the CLIA number for White River Family Practice in White River Junction?

47D0090617, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does White River Family Practice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 47D0090617 expire?

The CMS file lists December 31, 2027 as the certificate expiration date; the certificate took effect January 1, 2026.

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