CLIA lab
CLIA 47D1057491: Four Seasons Dermatology LLC
Rutland, VT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 47D1057491 belongs to Four Seasons Dermatology LLC in Rutland, VT.
Certificate for Provider-Performed Microscopy Procedures, effective August 14, 2026, expires August 13, 2028.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- August 14, 2026
- Certificate expiration
- August 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2006
- Facility type
- Physician office
- 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
- 47D1057491
- Lab name
- Four Seasons Dermatology LLC
- Address
- 253 Stratton Rd, Rutland, VT 05701
- Phone
- (802) 864-0192
- Fax
- (802) 860-4919
Annual test volume the lab reported
- Provider-performed microscopy tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rutland, VT
- All Dimensions Primary CareCertificate of Waiver, Physician office47D2184274
- Bayada Home Health Care, IncCertificate of Waiver, End stage renal disease dialysis facility47D1084053
- Bayada Home Health Care, IncCertificate of Waiver, Hospice47D2024135
- Belonging Medical GroupCertificate of Waiver, Other47D2330307
- Bradford Psychiatric Associates, LLCCertificate of Compliance, Physician office47D1063744
- Chcrr - Rutland Community Health CenterCertificate of Waiver, Federally qualified health center47D1104508
- Chcrr PediatricsCertificate of Waiver, Federally qualified health center47D0091805
- Clearchoicemd Urgent CareCertificate of Waiver, Other47D2079160
- Community Care Network Rutland Mental HealthCertificate of Waiver, Community clinic47D2298223
- Community Health North MainCertificate of Waiver, Federally qualified health center47D2333711
Related
Questions
What is the CLIA number for Four Seasons Dermatology LLC in Rutland?
47D1057491, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Four Seasons Dermatology LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 47D1057491 expire?
The CMS file lists August 13, 2028 as the certificate expiration date; the certificate took effect August 14, 2026.