45D2182394 CLIA NUMBER - VAZ URGENT CARE CLINIC PA

Laboratory Demographics

CLIA Number: 45D2182394

Facility Name: VAZ URGENT CARE CLINIC PA

Facility Address:
1103 N SARAH DEWITT DRIVE
GONZALES, TX
ZIP 78629
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Facility Phone Number: 830 672-2424

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497251698

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2182394
LAB Type	Physician Office
Facility Name	VAZ URGENT CARE CLINIC PA
Street	1103 N SARAH DEWITT DRIVE
City	GONZALES
State	TX
ZIP	78629
Phone	830 672-2424
CertificateType	4
CertificateEffectiveDate	4/21/2024
CertificateExpirationDate	4/20/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024