45D0505556 CLIA NUMBER - CENTRAL TEXAS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D0505556
  • Facility Name: CENTRAL TEXAS DERMATOLOGY
  • Facility Address: 102 WESTLAKE DRIVE # 100
    AUSTIN, TX
    ZIP 78746
  • Facility Phone: 512 327-7779
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EMILY PROSISE
  • NPI Number: 1356664718
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 45D0505556
LAB Type Physician Office
Facility Name CENTRAL TEXAS DERMATOLOGY
Street 102 WESTLAKE DRIVE # 100
City AUSTIN
State TX
ZIP 78746
Phone 512 327-7779
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director EMILY PROSISE

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