45D0967027 CLIA NUMBER - VIPUL PATEL MD

Laboratory Demographics

  • CLIA Code: 45D0967027
  • Facility Name: VIPUL PATEL MD
  • Facility Address: 629 E SOUTHMORE AVE
    PASADENA, TX
    ZIP 77502
  • Facility Phone: 713 475-1933
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: VIPUL M. PATEL
  • NPI Number: 1700994613
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0967027
LAB Type Ancillary Testing Site in Health Care Center
Facility Name VIPUL PATEL MD
Street 629 E SOUTHMORE AVE
City PASADENA
State TX
ZIP 77502
Phone 713 475-1933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director VIPUL M. PATEL

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