45D1102436 CLIA NUMBER - TEXAS ONCOLOGY MOBILE PET/CT AUSTIN

Laboratory Demographics

  • CLIA Code: 45D1102436
  • Facility Name: TEXAS ONCOLOGY MOBILE PET/CT AUSTIN
  • Facility Address: 2410 ROUND ROCK AVE SUITE 150
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: 512 539-6681
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KEMMY L. GEORGE
  • NPI Number: 1891717260
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1102436
LAB Type Mobile Laboratory
Facility Name TEXAS ONCOLOGY MOBILE PET/CT AUSTIN
Street 2410 ROUND ROCK AVE SUITE 150
City ROUND ROCK
State TX
ZIP 78681
Phone 512 539-6681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Mobile Laboratory
Lab Director KEMMY L. GEORGE

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