45D0956290 CLIA NUMBER - AUSTIN HEART COUMADIN CLINIC

Laboratory Demographics

  • CLIA Code: 45D0956290
  • Facility Name: AUSTIN HEART COUMADIN CLINIC
  • Facility Address: 3801 NORTH LAMAR SUITE 300
    AUSTIN, TX
    ZIP 78756
  • Facility Phone: 512 206-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL PAGLEY
  • NPI Number: 1700887700
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0956290
LAB Type Physician Office
Facility Name AUSTIN HEART COUMADIN CLINIC
Street 3801 NORTH LAMAR SUITE 300
City AUSTIN
State TX
ZIP 78756
Phone 512 206-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director PAUL PAGLEY

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