CLIA lab
CLIA 47D2218980: Four Seasons Dermatology
Waterbury, VT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 47D2218980 belongs to Four Seasons Dermatology in Waterbury, VT.
Certificate for Provider-Performed Microscopy Procedures, effective April 1, 2025, expires March 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 1, 2025
- Certificate expiration
- March 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 1, 2021
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 47D2218980
- Lab name
- Four Seasons Dermatology
- Address
- 28 Stowe St, Ste 3, Waterbury, VT 05676
- Phone
- (802) 864-0192
- Fax
- (802) 860-4919
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Waterbury, VT
- Cvmc Family Medicine-WaterburyCertificate for Provider-Performed Microscopy Procedures, Physician office47D0091692
- Hiv/Std/Hepatitis ProgramCertificate of Waiver, Mobile lab47D1061312
- Kinney Drugs #101Certificate of Waiver, Pharmacy47D2235432
- Kirby House IncCertificate of Waiver, Assisted living facility47D2209016
- Mint Medical, PLLCCertificate of Waiver, Physician office47D2329780
- Shaws Pharmacy #0649Certificate of Waiver, Pharmacy47D2255190
Related
Questions
What is the CLIA number for Four Seasons Dermatology in Waterbury?
47D2218980, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Four Seasons Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 47D2218980 expire?
The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.