CLIA lab

CLIA 47D2135046: Green Mountain Internal Medicine PLC

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

CLIA number 47D2135046 belongs to Green Mountain Internal Medicine PLC in South Burlington, VT.

Certificate of Waiver, effective August 15, 2025, expires August 14, 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
August 15, 2025
Certificate expiration
August 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 15, 2017
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
47D2135046
Lab name
Green Mountain Internal Medicine PLC
Address
550 Hinesburg Rd, Ste 201, South Burlington, VT 05403
Phone
(802) 864-7080
Fax
(802) 863-0411

Annual test volume the lab reported

Waived tests
300

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

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Related

Questions

What is the CLIA number for Green Mountain Internal Medicine PLC in South Burlington?

47D2135046, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Green Mountain Internal Medicine PLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 47D2135046 expire?

The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.

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