01D0305045 CLIA NUMBER - VYAS & VYAS MD PC

Laboratory Demographics

  • 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
  • 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 4
Certificate Effective Date 2/15/2023
Certificate Expiration Date 2/14/2025
Facility Type Waiver

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This page was last updated on: 4/23/2024