45D2042405 CLIA NUMBER - CROSSOVER HEALTH AUSTIN

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Laboratory Demographics

CLIA Number: 45D2042405

Facility Name: CROSSOVER HEALTH AUSTIN

Facility Address:
5505 W PARMER , BUILDING 4
AUSTIN, TX
ZIP 78727
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Facility Phone Number: 949 891-0328

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1518229293

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	45D2042405
LAB Type	Physician Office
Facility Name	CROSSOVER HEALTH AUSTIN
Street	5505 W PARMER , BUILDING 4
City	AUSTIN
State	TX
ZIP	78727
Phone	949 891-0328
CertificateType	3
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	PPMP

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