45D0979291 CLIA NUMBER - CONCENTRA URGENT CARE - ROUND ROCK

Laboratory Demographics

  • CLIA Code: 45D0979291
  • Facility Name: CONCENTRA URGENT CARE - ROUND ROCK
  • Facility Address: 117 B LOUIS HENNA BOULEVARD SUITE 200
    ROUND ROCK, TX
    ZIP 78664
  • Facility Phone: (512) 255-9634
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSPEH ANLY
  • NPI Number: 1326237900
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0979291
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - ROUND ROCK
Street 117 B LOUIS HENNA BOULEVARD SUITE 200
City ROUND ROCK
State TX
ZIP 78664
Phone 5122559634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director JOSPEH ANLY

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This page was last updated on: 5/18/2026