45D2017625 CLIA NUMBER - TEXAS MEDCLINIC - PR

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Laboratory Demographics

CLIA Number: 45D2017625

Facility Name: TEXAS MEDCLINIC - PR

Facility Address:
12319-B N MOPAC EXPRESSWAY
AUSTIN, TX
ZIP 78758
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Facility Phone Number: (512) 835-5577

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1649635442

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2017625
LAB Type	PHYSICIAN OFFICE
Facility Name	TEXAS MEDCLINIC - PR
Street	12319-B N MOPAC EXPRESSWAY
City	AUSTIN
State	TX
ZIP	78758
Phone	(512) 835-5577

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This page was last updated on: 5/11/2023