45D2081356 CLIA NUMBER - CAPITAL ENDOCRINE & DIABETES

Laboratory Demographics

  • CLIA Code: 45D2081356
  • Facility Name: CAPITAL ENDOCRINE & DIABETES
  • Facility Address: 1515 MEDICAL PKWY, STE 200
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: (512) 765-7806
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKATESH SEGU
  • NPI Number: 1104264993
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2081356
LAB Type Physician Office
Facility Name CAPITAL ENDOCRINE & DIABETES
Street 1515 MEDICAL PKWY, STE 200
City CEDAR PARK
State TX
ZIP 78613
Phone 5127657806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director VENKATESH SEGU

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This page was last updated on: 5/15/2026