45D2074812 CLIA NUMBER - ARA VILLAGE IMAGING

Laboratory Demographics

  • CLIA Code: 45D2074812
  • Facility Name: ARA VILLAGE IMAGING
  • Facility Address: 5625 EIGER ROAD SUITE 165
    AUSTIN, TX
    ZIP 78735
  • Facility Phone: 512 519-3774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH JOHNSON
  • NPI Number: 1124447628
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2074812
LAB Type Physician Office
Facility Name ARA VILLAGE IMAGING
Street 5625 EIGER ROAD SUITE 165
City AUSTIN
State TX
ZIP 78735
Phone 512 519-3774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director ELIZABETH JOHNSON

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