45D1000973 CLIA NUMBER - FAMILY MEDICINE CLINIC PA

Laboratory Demographics

CLIA Number: 45D1000973

Facility Name: FAMILY MEDICINE CLINIC PA

Facility Address:
704 E WONSLEY DRIVE, SUITE 100
AUSTIN, TX
ZIP 78753
Get Directions

Facility Phone Number: 512 453-7356

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1841868965

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D1000973
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE CLINIC PA
Street	704 E WONSLEY DRIVE, SUITE 100
City	AUSTIN
State	TX
ZIP	78753
Phone	512 453-7356
CertificateType	3
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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