45D0989670 CLIA NUMBER - VYTALUS MEDICAL GROUP, PLLC

Laboratory Demographics

CLIA Number: 45D0989670

Facility Name: VYTALUS MEDICAL GROUP, PLLC

Facility Address:
23330 US HWY 59 N, STE 300
KINGWOOD, TX
ZIP 77339
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Facility Phone Number: 281 359-3223

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053631275

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0989670
LAB Type	Physician Office
Facility Name	VYTALUS MEDICAL GROUP, PLLC
Street	23330 US HWY 59 N, STE 300
City	KINGWOOD
State	TX
ZIP	77339
Phone	281 359-3223
CertificateType	4
CertificateEffectiveDate	8/2/2023
CertificateExpirationDate	8/1/2025
FacilityType	Waiver

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