45D1101758 CLIA NUMBER - KEVIN STEPHENS MD PA

Laboratory Demographics

  • CLIA Code: 45D1101758
  • Facility Name: KEVIN STEPHENS MD PA
  • Facility Address: 4100 DUVAL RD BLD 2 STE 202
    AUSTIN, TX
    ZIP 78759
  • Facility Phone: 512 454-1123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN A. STEPHENS MD
  • NPI Number: 1255414314
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1101758
LAB Type Physician Office
Facility Name KEVIN STEPHENS MD PA
Street 4100 DUVAL RD BLD 2 STE 202
City AUSTIN
State TX
ZIP 78759
Phone 512 454-1123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Physician Office
Lab Director KEVIN A. STEPHENS MD

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