45D2295768 CLIA NUMBER - VANGUARD INPATIENT PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 45D2295768
  • Facility Name: VANGUARD INPATIENT PHYSICIANS LLC
  • Facility Address: 4645 SWEETWATER BLVD, SUITE 200
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 281 565-1112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ARUSHA BAVARE
  • NPI Number: 1801339742
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2295768
LAB Type Physician Office
Facility Name VANGUARD INPATIENT PHYSICIANS LLC
Street 4645 SWEETWATER BLVD, SUITE 200
City SUGAR LAND
State TX
ZIP 77479
Phone 281 565-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director DR. ARUSHA BAVARE

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This page was last updated on: 6/4/2025