45D0963392 CLIA NUMBER - ASCENSION SETON BASTROP HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D0963392
  • Facility Name: ASCENSION SETON BASTROP HEALTH CENTER
  • Facility Address: 630 HWY 71 W SUITE E
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 512 324-9999
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: BRENT K. PORTER
  • NPI Number: 1144325481
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0963392
LAB Type Rural Health Clinic
Facility Name ASCENSION SETON BASTROP HEALTH CENTER
Street 630 HWY 71 W SUITE E
City BASTROP
State TX
ZIP 78602
Phone 512 324-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Rural Health Clinic
Lab Director BRENT K. PORTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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