45D1050251 CLIA NUMBER - AUSTIN HEART SOUTH

Laboratory Demographics

  • CLIA Code: 45D1050251
  • Facility Name: AUSTIN HEART SOUTH
  • Facility Address: 2559 WESTERN TRAILS BLVD STE 200
    AUSTIN, TX
    ZIP 78745
  • Facility Phone: 512 899-2028
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NORMAN RISINGER
  • NPI Number: 1063406692
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1050251
LAB Type Physician Office
Facility Name AUSTIN HEART SOUTH
Street 2559 WESTERN TRAILS BLVD STE 200
City AUSTIN
State TX
ZIP 78745
Phone 512 899-2028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director NORMAN RISINGER

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