45D2069813 CLIA NUMBER - FOUR POINTS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 45D2069813
  • Facility Name: FOUR POINTS DERMATOLOGY
  • Facility Address: 1801 E 51ST ST, BLDG C , STE 320
    AUSTIN, TX
    ZIP 78723
  • Facility Phone: 512 478-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROOPAL BHATT
  • NPI Number: 1457524118
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2069813
LAB Type Physician Office
Facility Name FOUR POINTS DERMATOLOGY
Street 1801 E 51ST ST, BLDG C , STE 320
City AUSTIN
State TX
ZIP 78723
Phone 512 478-3376
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director DR. ROOPAL BHATT

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