45D2261387 CLIA NUMBER - VILLAGEMD OF SOUTHEAST TEXAS, PA-SPRING VMW

Laboratory Demographics

  • CLIA Code: 45D2261387
  • Facility Name: VILLAGEMD OF SOUTHEAST TEXAS, PA-SPRING VMW
  • Facility Address: 2103 FM 2920
    SPRING, TX
    ZIP 77388
  • Facility Phone: 346 888-2876
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANH NGUYEN
  • NPI Number: 1558332338
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2261387
LAB Type Physician Office
Facility Name VILLAGEMD OF SOUTHEAST TEXAS, PA-SPRING VMW
Street 2103 FM 2920
City SPRING
State TX
ZIP 77388
Phone 346 888-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director CHANH NGUYEN

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This page was last updated on: 3/20/2025