45D1028105 CLIA NUMBER - NELLY VELASQUEZ MD PA

Laboratory Demographics

  • CLIA Code: 45D1028105
  • Facility Name: NELLY VELASQUEZ MD PA
  • Facility Address: 900 E 30TH SUITE 200
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 236-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NELLY VELASQUEZ
  • NPI Number: 1790953271
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1028105
LAB Type Physician Office
Facility Name NELLY VELASQUEZ MD PA
Street 900 E 30TH SUITE 200
City AUSTIN
State TX
ZIP 78705
Phone 512 236-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director NELLY VELASQUEZ

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