45D1106992 CLIA NUMBER - AUSTIN MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 45D1106992
  • Facility Name: AUSTIN MEDICAL GROUP PLLC
  • Facility Address: 12201 RENFERT WAY SUITE 315
    AUSTIN, TX
    ZIP 78759
  • Facility Phone: 512 837-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: D PAUL LOVE, MD
  • NPI Number: 1811208697
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1106992
LAB Type Physician Office
Facility Name AUSTIN MEDICAL GROUP PLLC
Street 12201 RENFERT WAY SUITE 315
City AUSTIN
State TX
ZIP 78759
Phone 512 837-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director D PAUL LOVE, MD

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