45D0505318 CLIA NUMBER - NORTHLAND MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0505318
  • Facility Name: NORTHLAND MEDICAL CLINIC
  • Facility Address: 8000 ANDERSON SQ STE 113
    AUSTIN, TX
    ZIP 78757
  • Facility Phone: 512 338-0171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONOR B. FRIERSON STROUD MD
  • NPI Number: 1548619455
  • Taxonomy: 261QH0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0505318
LAB Type Physician Office
Facility Name NORTHLAND MEDICAL CLINIC
Street 8000 ANDERSON SQ STE 113
City AUSTIN
State TX
ZIP 78757
Phone 512 338-0171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director LEONOR B. FRIERSON STROUD MD

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