45D2063304 CLIA NUMBER - JULIE REARDON MD PLLC

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Laboratory Demographics

CLIA Number: 45D2063304

Facility Name: JULIE REARDON MD PLLC

Facility Address:
1313 RANCH ROAD 620 S STE 203
AUSTIN, TX
ZIP 78734
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Facility Phone Number: 512 850-6963

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083611578

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	45D2063304
LAB Type	Physician Office
Facility Name	JULIE REARDON MD PLLC
Street	1313 RANCH ROAD 620 S STE 203
City	AUSTIN
State	TX
ZIP	78734
Phone	512 850-6963
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

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