45D2285950 CLIA NUMBER - VIVA HEALTH CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 45D2285950
  • Facility Name: VIVA HEALTH CLINIC, LLC
  • Facility Address: 2631 GATTIS SCHOOL RD, SUITE 150
    ROUND ROCK, TX
    ZIP 78664
  • Facility Phone: (737) 349-1988
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERNESTO MARRERO
  • NPI Number: 1417618281
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2285950
LAB Type Practitioner Other
Facility Name VIVA HEALTH CLINIC, LLC
Street 2631 GATTIS SCHOOL RD, SUITE 150
City ROUND ROCK
State TX
ZIP 78664
Phone 7373491988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Practitioner Other
Lab Director ERNESTO MARRERO

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This page was last updated on: 5/15/2026