45D0963028 CLIA NUMBER - CAPITOL CITY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D0963028
  • Facility Name: CAPITOL CITY FAMILY PRACTICE
  • Facility Address: 2100 EAST 6TH STREET SUITE B
    AUSTIN, TX
    ZIP 78702
  • Facility Phone: 512 474-7824
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BELDA ZAMORA
  • NPI Number: 1801094891
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0963028
LAB Type Physician Office
Facility Name CAPITOL CITY FAMILY PRACTICE
Street 2100 EAST 6TH STREET SUITE B
City AUSTIN
State TX
ZIP 78702
Phone 512 474-7824
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director BELDA ZAMORA

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