45D1071066 CLIA NUMBER - ASCENSION MEDICAL GROUP TRINITY

Laboratory Demographics

  • CLIA Code: 45D1071066
  • Facility Name: ASCENSION MEDICAL GROUP TRINITY
  • Facility Address: 313 EAST 12TH STREET SUITES 100-104 (1ST FLOOR)
    AUSTIN, TX
    ZIP 78701
  • Facility Phone: 512 324-9999
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMMAR M. AHMED
  • NPI Number: 1093810327
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D1071066
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP TRINITY
Street 313 EAST 12TH STREET SUITES 100-104 (1ST FLOOR)
City AUSTIN
State TX
ZIP 78701
Phone 512 324-9999
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director AMMAR M. AHMED

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