45D1080997 CLIA NUMBER - HYDE PARK SURGERY CENTER,LLC DBA HYDE PARK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D1080997
  • Facility Name: HYDE PARK SURGERY CENTER,LLC DBA HYDE PARK SURGERY CENTER
  • Facility Address: HYDE PARK SURGERY 4611 GUADALUPE STREET # 100
    AUSTIN, TX
    ZIP 78751
  • Facility Phone: 512 637-0672
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LOUIS E. SEADE
  • NPI Number: 1962671487
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1080997
LAB Type Ambulatory Surgery Center
Facility Name HYDE PARK SURGERY CENTER,LLC DBA HYDE PARK SURGERY CENTER
Street HYDE PARK SURGERY 4611 GUADALUPE STREET # 100
City AUSTIN
State TX
ZIP 78751
Phone 512 637-0672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Ambulatory Surgery Center
Lab Director LOUIS E. SEADE

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