45D2008426 CLIA NUMBER - AESTHETIC PHYSICIANS PC D/B/A SONO BELLO

Laboratory Demographics

CLIA Number: 45D2008426

Facility Name: AESTHETIC PHYSICIANS PC D/B/A SONO BELLO

Facility Address:
801 WEST 38TH STREET SUITE 100
AUSTIN, TX
ZIP 78705
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Facility Phone Number: 480 385-9523

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952786212

Taxonomy: 2086S0122X - Surgery
A surgeon who specializes in plastic and reconstructive surgery.

CLIA Record

Field Name Field Value
CLIA Number 45D2008426
LAB Type Physician Office
Facility Name AESTHETIC PHYSICIANS PC D/B/A SONO BELLO
Street 801 WEST 38TH STREET SUITE 100
City AUSTIN
State TX
ZIP 78705
Phone 480 385-9523
CertificateType 4
CertificateEffectiveDate 6/10/2022
CertificateExpirationDate 6/9/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024