45D2007518 CLIA NUMBER - LEGENT OUTPATIENT SURGERY -AUSTIN

Laboratory Demographics

  • CLIA Code: 45D2007518
  • Facility Name: LEGENT OUTPATIENT SURGERY -AUSTIN
  • Facility Address: 3107 OAK CREEK DRIVE SUITE100
    AUSTIN, TX
    ZIP 78727
  • Facility Phone: 512 861-0700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THOMAS LOFTUS
  • NPI Number: 1497173801
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2007518
LAB Type Ambulatory Surgery Center
Facility Name LEGENT OUTPATIENT SURGERY -AUSTIN
Street 3107 OAK CREEK DRIVE SUITE100
City AUSTIN
State TX
ZIP 78727
Phone 512 861-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Ambulatory Surgery Center
Lab Director THOMAS LOFTUS

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