45D2056373 CLIA NUMBER - AUSTIN EPILEPSY CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D2056373
  • Facility Name: AUSTIN EPILEPSY CARE CENTER
  • Facility Address: 2200 PARK BEND DR BLDG 2, SUITE 203
    AUSTIN, TX
    ZIP 78758
  • Facility Phone: 512 339-8831
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMI M. ABOUMATAR
  • NPI Number: 1801825716
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2056373
LAB Type Physician Office
Facility Name AUSTIN EPILEPSY CARE CENTER
Street 2200 PARK BEND DR BLDG 2, SUITE 203
City AUSTIN
State TX
ZIP 78758
Phone 512 339-8831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director SAMI M. ABOUMATAR

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