45D0725415 CLIA NUMBER - AUSTIN TRAVIS COUNTY HHS WIC PROGRAM

Laboratory Demographics

  • CLIA Code: 45D0725415
  • Facility Name: AUSTIN TRAVIS COUNTY HHS WIC PROGRAM
  • Facility Address: 15 WALLER STREET
    AUSTIN, TX
    ZIP 78702
  • Facility Phone: 512 322-2331
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PHILIP HUANG MD MPH
  • NPI Number: 1578690798
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0725415
LAB Type Other
Facility Name AUSTIN TRAVIS COUNTY HHS WIC PROGRAM
Street 15 WALLER STREET
City AUSTIN
State TX
ZIP 78702
Phone 512 322-2331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director PHILIP HUANG MD MPH

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