45D1064178 CLIA NUMBER - NORTHWEST SURGERY CENTER LLP

Laboratory Demographics

  • CLIA Code: 45D1064178
  • Facility Name: NORTHWEST SURGERY CENTER LLP
  • Facility Address: 11111 RESEARCH BLVD SUITE LL3
    AUSTIN, TX
    ZIP 78759
  • Facility Phone: 512 349-4020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NANCY SALAS
  • NPI Number: 1356443808
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1064178
LAB Type Ambulatory Surgery Center
Facility Name NORTHWEST SURGERY CENTER LLP
Street 11111 RESEARCH BLVD SUITE LL3
City AUSTIN
State TX
ZIP 78759
Phone 512 349-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Ambulatory Surgery Center
Lab Director NANCY SALAS

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