45D1015349 CLIA NUMBER - TEXAS INTEGRATED MEDICAL SPECIALISTS, PLLC

Laboratory Demographics

  • CLIA Code: 45D1015349
  • Facility Name: TEXAS INTEGRATED MEDICAL SPECIALISTS, PLLC
  • Facility Address: 2000 SCENIC DRIVE DR STE G002
    GEORGETOWN, TX
    ZIP 78626
  • Facility Phone: 512 531-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN L. BROWN
  • NPI Number: 1568021707
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D1015349
LAB Type Physician Office
Facility Name TEXAS INTEGRATED MEDICAL SPECIALISTS, PLLC
Street 2000 SCENIC DRIVE DR STE G002
City GEORGETOWN
State TX
ZIP 78626
Phone 512 531-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Physician Office
Lab Director STEPHEN L. BROWN

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