CLIA lab

CLIA 47D0931010: Northern State Correctional Facility

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

CLIA number 47D0931010 belongs to Northern State Correctional Facility in Newport, VT.

Certificate of Waiver, effective July 21, 2025, expires July 20, 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
July 21, 2025
Certificate expiration
July 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 21, 1997
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
47D0931010
Lab name
Northern State Correctional Facility
Address
2559 Glen Rd, Newport, VT 05855
Phone
(802) 334-3364

Annual test volume the lab reported

Waived tests
500

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

Affiliated CLIA numbers

Other labs in Newport, VT

Related

Questions

What is the CLIA number for Northern State Correctional Facility in Newport?

47D0931010, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northern State Correctional Facility hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 47D0931010 expire?

The CMS file lists July 20, 2027 as the certificate expiration date; the certificate took effect July 21, 2025.

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