45D2023175 CLIA NUMBER - PETER BROBERG MD AND ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2023175
  • Facility Name: PETER BROBERG MD AND ASSOCIATES
  • Facility Address: 4207 JAMES CASEY STREET SUITE 305
    AUSTIN, TX
    ZIP 78745
  • Facility Phone: 512 447-6097
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER H. BROBERG
  • NPI Number: 1326040635
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2023175
LAB Type Physician Office
Facility Name PETER BROBERG MD AND ASSOCIATES
Street 4207 JAMES CASEY STREET SUITE 305
City AUSTIN
State TX
ZIP 78745
Phone 512 447-6097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director PETER H. BROBERG

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