01D0305045 CLIA NUMBER - VYAS & VYAS MD PC

Laboratory Demographics

  • CLIA Code: 01D0305045
  • Facility Name: VYAS & VYAS MD PC
  • Facility Address: 1212 EAST THREE NOTCH STREET
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 222-6041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YONGKUMA C. YONGKUMA
  • NPI Number: 1528255601
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0305045
LAB Type Physician Office
Facility Name VYAS & VYAS MD PC
Street 1212 EAST THREE NOTCH STREET
City ANDALUSIA
State AL
ZIP 36420
Phone 334 222-6041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director YONGKUMA C. YONGKUMA

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This page was last updated on: 9/29/2025