45D2329453 CLIA NUMBER - VITALPATH MEDICAL LLC

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CLIA Record

Field Name Field Value
CLIA Number 45D2329453
LAB Type Independent
Facility Name VITALPATH MEDICAL LLC
Street 3120 SOUTHWEST FWY STE 101
City HOUSTON
State TX
ZIP 77098
Phone 432 315-4720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Independent
Lab Director FERMON GRAYS

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