45D2037209 CLIA NUMBER - SANOVA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2037209
  • Facility Name: SANOVA DERMATOLOGY
  • Facility Address: 12319 N MOPAC EXPWY BLDG C STE 100
    AUSTIN, TX
    ZIP 78758
  • Facility Phone: 512 837-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MEGAN E. SHELTON
  • NPI Number: 1689957169
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2037209
LAB Type Physician Office
Facility Name SANOVA DERMATOLOGY
Street 12319 N MOPAC EXPWY BLDG C STE 100
City AUSTIN
State TX
ZIP 78758
Phone 512 837-3376
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director MEGAN E. SHELTON

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