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45D2039010 CLIA NUMBER - BALCONES DERMATOLOGY ASSOCIATES, PA

Laboratory Demographics

CLIA Number: 45D2039010

Facility Name: BALCONES DERMATOLOGY ASSOCIATES, PA

Facility Address:
7800 N MOPAC EXPWY, SUITE 315
AUSTIN, TX
ZIP 78759
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Facility Phone Number: 512 459-4869

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1255705778

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 45D2039010
LAB Type Physician Office
Facility Name BALCONES DERMATOLOGY ASSOCIATES, PA
Street 7800 N MOPAC EXPWY, SUITE 315
City AUSTIN
State TX
ZIP 78759
Phone 512 459-4869
CertificateType 3
CertificateEffectiveDate 3/29/2024
CertificateExpirationDate 3/28/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024