45D0505718 CLIA NUMBER - MRUDULA DESHPANDE MD

Laboratory Demographics

  • CLIA Code: 45D0505718
  • Facility Name: MRUDULA DESHPANDE MD
  • Facility Address: 13740 RESEARCH BOULEVARD VI
    AUSTIN, TX
    ZIP 78750
  • Facility Phone: 512 250-0406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MRUDULA DESHPANDE
  • NPI Number: 1821276064
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0505718
LAB Type Physician Office
Facility Name MRUDULA DESHPANDE MD
Street 13740 RESEARCH BOULEVARD VI
City AUSTIN
State TX
ZIP 78750
Phone 512 250-0406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director MRUDULA DESHPANDE

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