45D1082772 CLIA NUMBER - AUSTIN RADIOLOGICAL ASSOC STONELAKE TRAINING

Laboratory Demographics

CLIA Number: 45D1082772

Facility Name: AUSTIN RADIOLOGICAL ASSOC STONELAKE TRAINING

Facility Address:
12554 RIATA VISTA CIRCLE
AUSTIN, TX
ZIP 78727
Get Directions

Facility Phone Number: 512 795-5100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912573742

Taxonomy: 261QR0200X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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