45D0941407 CLIA NUMBER - MICHAEL L GUTIERREZ MD

Laboratory Demographics

CLIA Number: 45D0941407

Facility Name: MICHAEL L GUTIERREZ MD

Facility Address:
1009 E 40TH STREET SUITE 300B
AUSTIN, TX
ZIP 78751
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Facility Phone Number: 512 482-8280

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770664427

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0941407
LAB Type	Physician Office
Facility Name	MICHAEL L GUTIERREZ MD
Street	1009 E 40TH STREET SUITE 300B
City	AUSTIN
State	TX
ZIP	78751
Phone	512 482-8280
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024