45D1079937 CLIA NUMBER - MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM DBA VIBRANCE HEALTH WOMEN AND CHILDRENS CENTER

Laboratory Demographics

  • CLIA Code: 45D1079937
  • Facility Name: MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM DBA VIBRANCE HEALTH WOMEN AND CHILDRENS CENTER
  • Facility Address: 111 AVENUE F
    BAY CITY, TX
    ZIP 77414
  • Facility Phone: 979 245-2308
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: OLUBUKOLA OMOBOLAJI AYENI-IBITOYE
  • NPI Number: 1003193848
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1079937
LAB Type Physician Office
Facility Name MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM DBA VIBRANCE HEALTH WOMEN AND CHILDRENS CENTER
Street 111 AVENUE F
City BAY CITY
State TX
ZIP 77414
Phone 979 245-2308
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director OLUBUKOLA OMOBOLAJI AYENI-IBITOYE

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