45D2218471 CLIA NUMBER - MAZZY MEDICAL D/B/A VITAL CARE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2218471
  • Facility Name: MAZZY MEDICAL D/B/A VITAL CARE FAMILY PRACTICE
  • Facility Address: 801 N MAIN STREET STE G-1
    ANDREWS, TX
    ZIP 79714
  • Facility Phone: 432 704-5661
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NEILL SLATER
  • NPI Number: 1942895974
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2218471
LAB Type Practitioner Other
Facility Name MAZZY MEDICAL D/B/A VITAL CARE FAMILY PRACTICE
Street 801 N MAIN STREET STE G-1
City ANDREWS
State TX
ZIP 79714
Phone 432 704-5661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Practitioner Other
Lab Director NEILL SLATER

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