45D2018725 CLIA NUMBER - CEDAR PARK SURGERY CENTER,LLC

Laboratory Demographics

  • CLIA Code: 45D2018725
  • Facility Name: CEDAR PARK SURGERY CENTER,LLC
  • Facility Address: 351 CYPRESS CREEK RD SUITE 102
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 498-9006
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MISTY M. SHAW
  • NPI Number: 1073644423
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2018725
LAB Type Ambulatory Surgery Center
Facility Name CEDAR PARK SURGERY CENTER,LLC
Street 351 CYPRESS CREEK RD SUITE 102
City CEDAR PARK
State TX
ZIP 78613
Phone 512 498-9006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Ambulatory Surgery Center
Lab Director MISTY M. SHAW

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This page was last updated on: 6/4/2025