45D1069391 CLIA NUMBER - VITALOGY SKINCARE DBA (GEORGETOWN)

Laboratory Demographics

  • CLIA Code: 45D1069391
  • Facility Name: VITALOGY SKINCARE DBA (GEORGETOWN)
  • Facility Address: 4513 WILLIAMS DRIVE
    GEORGETOWN, TX
    ZIP 78633
  • Facility Phone: 512 763-3770
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ALOK VIJ
  • NPI Number: 1023215662
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D1069391
LAB Type Practitioner Other
Facility Name VITALOGY SKINCARE DBA (GEORGETOWN)
Street 4513 WILLIAMS DRIVE
City GEORGETOWN
State TX
ZIP 78633
Phone 512 763-3770
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Practitioner Other
Lab Director DR. ALOK VIJ

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