45D0895083 CLIA NUMBER - RED RIVER FAMILY PRACTICE,LLP

Laboratory Demographics

  • CLIA Code: 45D0895083
  • Facility Name: RED RIVER FAMILY PRACTICE,LLP
  • Facility Address: 900 EAST 30TH STREET, SUITE 300
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 476-6555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY E. BARTZ MD
  • NPI Number: 1861442170
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0895083
LAB Type Physician Office
Facility Name RED RIVER FAMILY PRACTICE,LLP
Street 900 EAST 30TH STREET, SUITE 300
City AUSTIN
State TX
ZIP 78705
Phone 512 476-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director MARY E. BARTZ MD

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