45D2073811 CLIA NUMBER - NORTH AUSTIN MATERNAL FETAL MEDICINE SOUTH LOCATION

Laboratory Demographics

  • CLIA Code: 45D2073811
  • Facility Name: NORTH AUSTIN MATERNAL FETAL MEDICINE SOUTH LOCATION
  • Facility Address: 4316 JAMES CASEY BLDG-B SUITE 101
    AUSTIN, TX
    ZIP 78745
  • Facility Phone: 512 821-2540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. DESTEFANO
  • NPI Number: 1821229568
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2073811
LAB Type Physician Office
Facility Name NORTH AUSTIN MATERNAL FETAL MEDICINE SOUTH LOCATION
Street 4316 JAMES CASEY BLDG-B SUITE 101
City AUSTIN
State TX
ZIP 78745
Phone 512 821-2540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director KIMBERLY A. DESTEFANO

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