45D1084640 CLIA NUMBER - TEXAS FAMILY PHYSICIANS AT RIVER PLACE

Laboratory Demographics

  • CLIA Code: 45D1084640
  • Facility Name: TEXAS FAMILY PHYSICIANS AT RIVER PLACE
  • Facility Address: 6618 SITIO DEL RIO BLVD B101
    AUSTIN, TX
    ZIP 78730
  • Facility Phone: 512 716-5268
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN C. MOLINA
  • NPI Number: 1043480171
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1084640
LAB Type Physician Office
Facility Name TEXAS FAMILY PHYSICIANS AT RIVER PLACE
Street 6618 SITIO DEL RIO BLVD B101
City AUSTIN
State TX
ZIP 78730
Phone 512 716-5268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director MARTIN C. MOLINA

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