45D1063161 CLIA NUMBER - SUNDANCE FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D1063161
  • Facility Name: SUNDANCE FAMILY HEALTH CENTER
  • Facility Address: 7700 CAT HOLLOW DRIVE SUITE 205
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: (512) 218-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ATSUSHI MATSUBARA MD
  • NPI Number: 1982751061
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1063161
LAB Type Physician Office
Facility Name SUNDANCE FAMILY HEALTH CENTER
Street 7700 CAT HOLLOW DRIVE SUITE 205
City ROUND ROCK
State TX
ZIP 78681
Phone 5122184900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director ATSUSHI MATSUBARA MD

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