45D0682705 CLIA NUMBER - SOUTHWESTERN UNIVERSITY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D0682705
  • Facility Name: SOUTHWESTERN UNIVERSITY HEALTH SERVICES
  • Facility Address: 1006 E UNIVERSITY,PROTHRO STE 200
    GEORGETOWN, TX
    ZIP 78626
  • Facility Phone: 512 863-1252
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JENNIFER C. SPILLER
  • NPI Number: 1174297303
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D0682705
LAB Type School/Student Health Service
Facility Name SOUTHWESTERN UNIVERSITY HEALTH SERVICES
Street 1006 E UNIVERSITY,PROTHRO STE 200
City GEORGETOWN
State TX
ZIP 78626
Phone 512 863-1252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type School/Student Health Service
Lab Director JENNIFER C. SPILLER

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