45D2048480 CLIA NUMBER - MEDICUS PARTNERS LLC, D/B/A AUSITN MIDTOWN AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2048480
  • Facility Name: MEDICUS PARTNERS LLC, D/B/A AUSITN MIDTOWN AMBULATORY SURGERY CENTER
  • Facility Address: 901 W 38TH STREET, STE 101
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 653-3459
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GODBY GRANT
  • NPI Number: 1689932162
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2048480
LAB Type Ambulatory Surgery Center
Facility Name MEDICUS PARTNERS LLC, D/B/A AUSITN MIDTOWN AMBULATORY SURGERY CENTER
Street 901 W 38TH STREET, STE 101
City AUSTIN
State TX
ZIP 78705
Phone 512 653-3459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Ambulatory Surgery Center
Lab Director GODBY GRANT

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