45D0504786 CLIA NUMBER - AUSTEX PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 45D0504786
  • Facility Name: AUSTEX PEDIATRICS, PA
  • Facility Address: 5100 WEST US 290 BUILDING 2, SUITE 110
    AUSTIN, TX
    ZIP 78735
  • Facility Phone: 512 454-0406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MELODY D. CASSELS
  • NPI Number: 1144415803
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0504786
LAB Type Physician Office
Facility Name AUSTEX PEDIATRICS, PA
Street 5100 WEST US 290 BUILDING 2, SUITE 110
City AUSTIN
State TX
ZIP 78735
Phone 512 454-0406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director DR. MELODY D. CASSELS

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