45D0504977 CLIA NUMBER - MIDTOWN UROLOGY ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 45D0504977
  • Facility Name: MIDTOWN UROLOGY ASSOCIATES, PA
  • Facility Address: 911 W 38TH ST STE 200
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 451-7935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. TROTTER MD
  • NPI Number: 1982894580
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D0504977
LAB Type Physician Office
Facility Name MIDTOWN UROLOGY ASSOCIATES, PA
Street 911 W 38TH ST STE 200
City AUSTIN
State TX
ZIP 78705
Phone 512 451-7935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director MICHAEL D. TROTTER MD

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