45D2326915 CLIA NUMBER - AGEVANTX CORP

Laboratory Demographics

  • CLIA Code: 45D2326915
  • Facility Name: AGEVANTX CORP
  • Facility Address: 11003 NORTHPOINTE BLVD SUITE A
    TOMBALL, TX
    ZIP 77375
  • Facility Phone: 281 301-5522
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE VALDEZ
  • NPI Number: 1225857006
  • Taxonomy: 207QH0002X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2326915
LAB Type Physician Office
Facility Name AGEVANTX CORP
Street 11003 NORTHPOINTE BLVD SUITE A
City TOMBALL
State TX
ZIP 77375
Phone 281 301-5522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director GEORGE VALDEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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