45D2003909 CLIA NUMBER - SUSAN C KING MD

Laboratory Demographics

  • CLIA Code: 45D2003909
  • Facility Name: SUSAN C KING MD
  • Facility Address: 1907 CYPRESS CRK RD STE 104
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 346-7966
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN C. KING
  • NPI Number: 1669459327
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2003909
LAB Type Physician Office
Facility Name SUSAN C KING MD
Street 1907 CYPRESS CRK RD STE 104
City CEDAR PARK
State TX
ZIP 78613
Phone 512 346-7966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director SUSAN C. KING

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