45D0707091 CLIA NUMBER - EMILIO GUTIERREZ MD PA

Laboratory Demographics

CLIA Number: 45D0707091

Facility Name: EMILIO GUTIERREZ MD PA

Facility Address:
4400 RED RIVER STREET
AUSTIN, TX
ZIP 78751
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Facility Phone Number: 512 474-5537

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659467447

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0707091
LAB Type	Physician Office
Facility Name	EMILIO GUTIERREZ MD PA
Street	4400 RED RIVER STREET
City	AUSTIN
State	TX
ZIP	78751
Phone	512 474-5537
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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