45D0691261 CLIA NUMBER - AMG SETON WOMEN'S HEALTH-CENTRAL 34TH

Laboratory Demographics

  • CLIA Code: 45D0691261
  • Facility Name: AMG SETON WOMEN'S HEALTH-CENTRAL 34TH
  • Facility Address: 1111 W 34TH STREET SUITE 200
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 324-3405
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BAILEY ESCARZAGA
  • NPI Number: 1598319162
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 45D0691261
LAB Type Physician Office
Facility Name AMG SETON WOMEN'S HEALTH-CENTRAL 34TH
Street 1111 W 34TH STREET SUITE 200
City AUSTIN
State TX
ZIP 78705
Phone 512 324-3405
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 BAILEY ESCARZAGA

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