45D0958811 CLIA NUMBER - VIP PROVIDERS INC

Laboratory Demographics

  • CLIA Code: 45D0958811
  • Facility Name: VIP PROVIDERS INC
  • Facility Address: 200 EAST SAM HOUSTON SUITE A
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 787-4800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ISIDORA D. FARIAS
  • NPI Number: 1861529208
  • Taxonomy: 3747P1801X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 45D0958811
LAB Type Home Health Agency
Facility Name VIP PROVIDERS INC
Street 200 EAST SAM HOUSTON SUITE A
City PHARR
State TX
ZIP 78577
Phone 956 787-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Home Health Agency
Lab Director ISIDORA D. FARIAS

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