45D0941407 CLIA NUMBER - MICHAEL L GUTIERREZ MD

Laboratory Demographics

  • CLIA Code: 45D0941407
  • Facility Name: MICHAEL L GUTIERREZ MD
  • Facility Address: 1009 E 40TH STREET SUITE 300B
    AUSTIN, TX
    ZIP 78751
  • Facility Phone: 512 482-8280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. GUTIERREZ MD
  • NPI Number: 1770664427
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director MICHAEL L. GUTIERREZ MD

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