45D0988478 CLIA NUMBER - UROLOGY AUSTIN PLLC

Laboratory Demographics

  • CLIA Code: 45D0988478
  • Facility Name: UROLOGY AUSTIN PLLC
  • Facility Address: 16040 PARK VALLEY DRIVE BLDG A SUITE 111
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: 512 341-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATHEW J. PUTZI
  • NPI Number: 1215472600
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0988478
LAB Type Physician Office
Facility Name UROLOGY AUSTIN PLLC
Street 16040 PARK VALLEY DRIVE BLDG A SUITE 111
City ROUND ROCK
State TX
ZIP 78681
Phone 512 341-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director MATHEW J. PUTZI

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