45D0938922 CLIA NUMBER - UROLOGY AUSTIN, PLLC

Laboratory Demographics

  • CLIA Code: 45D0938922
  • Facility Name: UROLOGY AUSTIN, PLLC
  • Facility Address: 11410 JOLLYVILLE ROAD SUITE 1101
    AUSTIN, TX
    ZIP 78759
  • Facility Phone: 512 231-1444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATHEW J. PUTZI
  • NPI Number: 1477297026
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D0938922
LAB Type Physician Office
Facility Name UROLOGY AUSTIN, PLLC
Street 11410 JOLLYVILLE ROAD SUITE 1101
City AUSTIN
State TX
ZIP 78759
Phone 512 231-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director MATHEW J. PUTZI

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