45D2008922 CLIA NUMBER - MEDICAL PARK TOWER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2008922
  • Facility Name: MEDICAL PARK TOWER SURGERY CENTER
  • Facility Address: 1301 W 38TH STREET STE 109
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 354-3000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANJAY HEGDE
  • NPI Number: 1306912472
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2008922
LAB Type Ambulatory Surgery Center
Facility Name MEDICAL PARK TOWER SURGERY CENTER
Street 1301 W 38TH STREET STE 109
City AUSTIN
State TX
ZIP 78705
Phone 512 354-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Ambulatory Surgery Center
Lab Director SANJAY HEGDE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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