45D2300510 CLIA NUMBER - VITALITY LIFESTYLE AND WELLNESS

Laboratory Demographics

  • CLIA Code: 45D2300510
  • Facility Name: VITALITY LIFESTYLE AND WELLNESS
  • Facility Address: 5105 SUNMORE CIRCLE, SUITE A
    MIDLAND, TX
    ZIP 79707
  • Facility Phone: 432 557-7656
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARTHA RAMOS
  • NPI Number: 1366109555
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2300510
LAB Type Practitioner Other
Facility Name VITALITY LIFESTYLE AND WELLNESS
Street 5105 SUNMORE CIRCLE, SUITE A
City MIDLAND
State TX
ZIP 79707
Phone 432 557-7656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Practitioner Other
Lab Director MARTHA RAMOS

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