CLIA lab
CLIA 47D1096900: Jennifer Fauntleroy MD
Rutland, VT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 47D1096900 belongs to Jennifer Fauntleroy MD in Rutland, VT.
Certificate of Waiver, effective March 13, 2025, expires March 12, 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
- March 13, 2025
- Certificate expiration
- March 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 13, 2009
- Facility type
- Other practitioner
- 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
- 47D1096900
- Lab name
- Jennifer Fauntleroy MD
- Address
- 11 Court Square, Rutland, VT 05701
- Phone
- (802) 775-1398
- Fax
- (802) 773-5169
Annual test volume the lab reported
- Waived tests
- 20
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 Jennifer Fauntleroy MD in Rutland?
47D1096900, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jennifer Fauntleroy MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 47D1096900 expire?
The CMS file lists March 12, 2027 as the certificate expiration date; the certificate took effect March 13, 2025.