45D2173766 CLIA NUMBER - VILLAGEMD OF SOUTHEAST TEXAS, PA

Laboratory Demographics

  • CLIA Code: 45D2173766
  • Facility Name: VILLAGEMD OF SOUTHEAST TEXAS, PA
  • Facility Address: 21820 KATY FWY SUITE 200
    KATY, TX
    ZIP 77449
  • Facility Phone: 346 980-2236
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT VANZANT
  • NPI Number: 1104167774
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2173766
LAB Type Physician Office
Facility Name VILLAGEMD OF SOUTHEAST TEXAS, PA
Street 21820 KATY FWY SUITE 200
City KATY
State TX
ZIP 77449
Phone 346 980-2236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director ROBERT VANZANT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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