45D0505334 CLIA NUMBER - AUSTIN REGIONAL CLINIC AT FARWEST

Laboratory Demographics

CLIA Number: 45D0505334

Facility Name: AUSTIN REGIONAL CLINIC AT FARWEST

Facility Address:
6835 AUSTIN CENTER BOULEVARD
AUSTIN, TX
ZIP 78731
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Facility Phone Number: 512 465-1608

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1265896096

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	45D0505334
LAB Type	Physician Office
Facility Name	AUSTIN REGIONAL CLINIC AT FARWEST
Street	6835 AUSTIN CENTER BOULEVARD
City	AUSTIN
State	TX
ZIP	78731
Phone	512 465-1608
CertificateType	1
CertificateEffectiveDate	1/11/2024
CertificateExpirationDate	1/10/2026
FacilityType	Accreditation

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