45D2064562 CLIA NUMBER - VIVERE HEALTH AUSTIN LLC D/B/A VIVERE AUSTIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2064562
  • Facility Name: VIVERE HEALTH AUSTIN LLC D/B/A VIVERE AUSTIN SURGERY CENTER
  • Facility Address: 2200 PARK BEND DRIVE BUILDING 3,SUITE 200
    AUSTIN, TX
    ZIP 78758
  • Facility Phone: 512 730-0471
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TARA BENNIGHT
  • NPI Number: 1437597812
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2064562
LAB Type Ambulatory Surgery Center
Facility Name VIVERE HEALTH AUSTIN LLC D/B/A VIVERE AUSTIN SURGERY CENTER
Street 2200 PARK BEND DRIVE BUILDING 3,SUITE 200
City AUSTIN
State TX
ZIP 78758
Phone 512 730-0471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2023
Certificate Expiration Date 8/21/2025
Facility Type Ambulatory Surgery Center
Lab Director TARA BENNIGHT

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This page was last updated on: 6/4/2025