45D0504721 CLIA NUMBER - AUSTIN REGIONAL CLINIC SOUTH

Laboratory Demographics

CLIA Number: 45D0504721

Facility Name: AUSTIN REGIONAL CLINIC SOUTH

Facility Address:
3828 SOUTH 1ST STREET
AUSTIN, TX
ZIP 78704
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Facility Phone Number: 512 465-1608

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1124323845

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	45D0504721
LAB Type	Physician Office
Facility Name	AUSTIN REGIONAL CLINIC SOUTH
Street	3828 SOUTH 1ST STREET
City	AUSTIN
State	TX
ZIP	78704
Phone	512 465-1608
CertificateType	1
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024