45D0898971 CLIA NUMBER - ROUND ROCK HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D0898971
  • Facility Name: ROUND ROCK HEALTH CLINIC
  • Facility Address: 2120 NORTH MAYS STE 430
    ROUND ROCK, TX
    ZIP 78664
  • Facility Phone: 512 686-0523
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KATHLEEN VICKY BUTLER
  • NPI Number: 1316330764
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 45D0898971
LAB Type Federally Qualified Health Center
Facility Name ROUND ROCK HEALTH CLINIC
Street 2120 NORTH MAYS STE 430
City ROUND ROCK
State TX
ZIP 78664
Phone 512 686-0523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Federally Qualified Health Center
Lab Director KATHLEEN VICKY BUTLER

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