45D1046542 CLIA NUMBER - DAVID D DAVILA DO

Laboratory Demographics

  • CLIA Code: 45D1046542
  • Facility Name: DAVID D DAVILA DO
  • Facility Address: 110 VINTAGE PARK BLVD STE 280
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 281 453-5100
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DAVID D. DAVILA DO
  • NPI Number: 1063422582
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D1046542
LAB Type Other
Facility Name DAVID D DAVILA DO
Street 110 VINTAGE PARK BLVD STE 280
City HOUSTON
State TX
ZIP 77070
Phone 281 453-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Other
Lab Director DAVID D. DAVILA DO

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