45D0902751 CLIA NUMBER - DELL CHILDREN'S MEDICAL GROUP STRICTLY PEDIATRICS UROLOGY

Laboratory Demographics

  • CLIA Code: 45D0902751
  • Facility Name: DELL CHILDREN'S MEDICAL GROUP STRICTLY PEDIATRICS UROLOGY
  • Facility Address: 1301 BARBARA JORDAN BOULEVARD SUITE 302
    AUSTIN, TX
    ZIP 78723
  • Facility Phone: 512 472-6134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY NAST
  • NPI Number: 1962414334
  • Taxonomy: 2080P0203X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0902751
LAB Type Physician Office
Facility Name DELL CHILDREN'S MEDICAL GROUP STRICTLY PEDIATRICS UROLOGY
Street 1301 BARBARA JORDAN BOULEVARD SUITE 302
City AUSTIN
State TX
ZIP 78723
Phone 512 472-6134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director KELLY NAST

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