45D2228778 CLIA NUMBER - VITAL PHYSICIAN SERVICES, PLLC DBA EVOLUTION EVOLUTION HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D2228778
  • Facility Name: VITAL PHYSICIAN SERVICES, PLLC DBA EVOLUTION EVOLUTION HEALTH SERVICES
  • Facility Address: 3720 GATTIS SCHOOL ROAD, SUITE 800
    ROUND ROCK, TX
    ZIP 78664
  • Facility Phone: 808 354-1826
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: MR. DEDRIC K. MYERS
  • NPI Number: 1801468210
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2228778
LAB Type Independent
Facility Name VITAL PHYSICIAN SERVICES, PLLC DBA EVOLUTION EVOLUTION HEALTH SERVICES
Street 3720 GATTIS SCHOOL ROAD, SUITE 800
City ROUND ROCK
State TX
ZIP 78664
Phone 808 354-1826
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Independent
Lab Director MR. DEDRIC K. MYERS

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