45D0969889 CLIA NUMBER - TEXAN AMBULATORY SURGERY CENTER LP D/B/A TEXAN SURGERY CENTER

Laboratory Demographics

CLIA Number: 45D0969889

Facility Name: TEXAN AMBULATORY SURGERY CENTER LP D/B/A TEXAN SURGERY CENTER

Facility Address:
7000 NORTH MOPAC EXPRESSWAY SUITE 120
AUSTIN, TX
ZIP 78731
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Facility Phone Number: 512 342-0900

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1851433718

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0969889
LAB Type	Ambulatory Surgery Center
Facility Name	TEXAN AMBULATORY SURGERY CENTER LP D/B/A TEXAN SURGERY CENTER
Street	7000 NORTH MOPAC EXPRESSWAY SUITE 120
City	AUSTIN
State	TX
ZIP	78731
Phone	512 342-0900
CertificateType	4
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	Waiver

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