45D0505265 CLIA NUMBER - AUSTIN REGIONAL CLINIC AT SOUTHWEST

Laboratory Demographics

CLIA Number: 45D0505265

Facility Name: AUSTIN REGIONAL CLINIC AT SOUTHWEST

Facility Address:
1807 SLAUGHTER LANE, SUITE 495
AUSTIN, TX
ZIP 78748
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Facility Phone Number: 512 292-5150

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1679878391

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	45D0505265
LAB Type	Physician Office
Facility Name	AUSTIN REGIONAL CLINIC AT SOUTHWEST
Street	1807 SLAUGHTER LANE, SUITE 495
City	AUSTIN
State	TX
ZIP	78748
Phone	512 292-5150
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