45D1056911 CLIA NUMBER - PAUL W JOHN MD PA

Laboratory Demographics

CLIA Number: 45D1056911

Facility Name: PAUL W JOHN MD PA

Facility Address:
11671 JOLLYVILLE ROAD SUITE 202
AUSTIN, TX
ZIP 78759
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Facility Phone Number: 512 343-9848

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679681357

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 45D1056911
LAB Type Physician Office
Facility Name PAUL W JOHN MD PA
Street 11671 JOLLYVILLE ROAD SUITE 202
City AUSTIN
State TX
ZIP 78759
Phone 512 343-9848
CertificateType 4
CertificateEffectiveDate 7/28/2022
CertificateExpirationDate 7/27/2024
FacilityType Waiver

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