45D0979958 CLIA NUMBER - NORTH AUSTIN FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 45D0979958

Facility Name: NORTH AUSTIN FAMILY MEDICINE

Facility Address:
11671 JOLLYVILLE RD #203
AUSTIN, TX
ZIP 78759
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Facility Phone Number: 512 338-5150

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1710196332

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0979958
LAB Type	Physician Office
Facility Name	NORTH AUSTIN FAMILY MEDICINE
Street	11671 JOLLYVILLE RD #203
City	AUSTIN
State	TX
ZIP	78759
Phone	512 338-5150
CertificateType	3
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	PPMP

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