45D1071066 CLIA NUMBER - ASCENSION MEDICAL GROUP TRINITY

Laboratory Demographics

CLIA Number: 45D1071066

Facility Name: ASCENSION MEDICAL GROUP TRINITY

Facility Address:
313 EAST 12TH STREET SUITES 100-104 (1ST FLOOR)
AUSTIN, TX
ZIP 78701
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Facility Phone Number: 512 324-9999

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1093810327

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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
CertificateType	3
CertificateEffectiveDate	7/17/2023
CertificateExpirationDate	7/16/2025
FacilityType	PPMP

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