45D1082772 CLIA NUMBER - AUSTIN RADIOLOGICAL ASSOC STONELAKE TRAINING

Laboratory Demographics

  • CLIA Code: 45D1082772
  • Facility Name: AUSTIN RADIOLOGICAL ASSOC STONELAKE TRAINING
  • Facility Address: 12554 RIATA VISTA CIRCLE
    AUSTIN, TX
    ZIP 78727
  • Facility Phone: 512 795-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. JOHNSON
  • NPI Number: 1912573742
  • Taxonomy: 261QR0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1082772
LAB Type Physician Office
Facility Name AUSTIN RADIOLOGICAL ASSOC STONELAKE TRAINING
Street 12554 RIATA VISTA CIRCLE
City AUSTIN
State TX
ZIP 78727
Phone 512 795-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director ELIZABETH A. JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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