45D2141237 CLIA NUMBER - VIKRAM VADYALA PLLC

Laboratory Demographics

  • CLIA Code: 45D2141237
  • Facility Name: VIKRAM VADYALA PLLC
  • Facility Address: 2002 N MIDLAND DR
    MIDLAND, TX
    ZIP 79707
  • Facility Phone: 432 686-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIKRAM R. VADYALA
  • NPI Number: 1497985188
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2141237
LAB Type Physician Office
Facility Name VIKRAM VADYALA PLLC
Street 2002 N MIDLAND DR
City MIDLAND
State TX
ZIP 79707
Phone 432 686-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director VIKRAM R. VADYALA

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