45D0672417 CLIA NUMBER - UROLOGY AUSTIN PLLC

Laboratory Demographics

CLIA Number: 45D0672417

Facility Name: UROLOGY AUSTIN PLLC

Facility Address:
608 RADAM LANE
AUSTIN, TX
ZIP 78745
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Facility Phone Number: 512 687-1964

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1154065704

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	45D0672417
LAB Type	Physician Office
Facility Name	UROLOGY AUSTIN PLLC
Street	608 RADAM LANE
City	AUSTIN
State	TX
ZIP	78745
Phone	512 687-1964
CertificateType	3
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	6/26/2025
FacilityType	PPMP

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