45D1014455 CLIA NUMBER - MARTHA E SCHMITZ MD PC

Laboratory Demographics

CLIA Number: 45D1014455

Facility Name: MARTHA E SCHMITZ MD PC

Facility Address:
1221 W BENWHITE BLVD SUITE A-210
AUSTIN, TX
ZIP 78704
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Facility Phone Number: 512 394-0054

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1033365200

Taxonomy: 101YP2500X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	45D1014455
LAB Type	Physician Office
Facility Name	MARTHA E SCHMITZ MD PC
Street	1221 W BENWHITE BLVD SUITE A-210
City	AUSTIN
State	TX
ZIP	78704
Phone	512 394-0054
CertificateType	3
CertificateEffectiveDate	6/23/2022
CertificateExpirationDate	6/22/2024
FacilityType	PPMP

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