45D0505558 CLIA NUMBER - ONE MEDICAL WITH ASCENSION

Laboratory Demographics

  • CLIA Code: 45D0505558
  • Facility Name: ONE MEDICAL WITH ASCENSION
  • Facility Address: 2500 W WILLIAM CANNON DR, SUITE 401
    AUSTIN, TX
    ZIP 78745
  • Facility Phone: 888 663-6331
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL RIE MD
  • NPI Number: 1013914993
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0505558
LAB Type Physician Office
Facility Name ONE MEDICAL WITH ASCENSION
Street 2500 W WILLIAM CANNON DR, SUITE 401
City AUSTIN
State TX
ZIP 78745
Phone 888 663-6331
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL RIE MD

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