45D2023597 CLIA NUMBER - UROLOGY AUSTIN-LAKEWAY

Laboratory Demographics

  • CLIA Code: 45D2023597
  • Facility Name: UROLOGY AUSTIN-LAKEWAY
  • Facility Address: 101 MEDICAL PARKWAY, SUITE 200
    LAKEWAY, TX
    ZIP 78738
  • Facility Phone: 512 263-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATHEW J. PUTZI
  • NPI Number: 1801530472
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D2023597
LAB Type Physician Office
Facility Name UROLOGY AUSTIN-LAKEWAY
Street 101 MEDICAL PARKWAY, SUITE 200
City LAKEWAY
State TX
ZIP 78738
Phone 512 263-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director MATHEW J. PUTZI

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