45D1056782 CLIA NUMBER - CAPITAL SURGEONS GROUP

Laboratory Demographics

  • CLIA Code: 45D1056782
  • Facility Name: CAPITAL SURGEONS GROUP
  • Facility Address: 3705 MEDICAL PKWY SUITE 250
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: (512) 334-1885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN A. CLARKE
  • NPI Number: 1891745592
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D1056782
LAB Type Physician Office
Facility Name CAPITAL SURGEONS GROUP
Street 3705 MEDICAL PKWY SUITE 250
City AUSTIN
State TX
ZIP 78705
Phone 5123341885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director SUSAN A. CLARKE

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This page was last updated on: 5/18/2026