CLIA lab

CLIA 47D2198152: Residence at Otter Creek, the

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

CLIA number 47D2198152 belongs to Residence at Otter Creek, the in Middlebury, VT.

Certificate of Waiver, effective October 30, 2024, expires October 29, 2026.

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
October 30, 2024
Certificate expiration
October 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 30, 2020
Facility type
Assisted living facility
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
47D2198152
Lab name
Residence at Otter Creek, the
Address
350 Lodge Rd, Middlebury, VT 05753
Phone
(802) 377-3383
Fax
(802) 458-3215

Annual test volume the lab reported

Waived tests
1,000

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

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Questions

What is the CLIA number for Residence at Otter Creek, the in Middlebury?

47D2198152, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Residence at Otter Creek, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 47D2198152 expire?

The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.

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