45D2084377 CLIA NUMBER - WESTLAKE CONCIERGE MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2084377
  • Facility Name: WESTLAKE CONCIERGE MEDICINE
  • Facility Address: 1301 S CAPITAL OF TEXAS HWY C-100
    AUSTIN, TX
    ZIP 78746
  • Facility Phone: 512 387-0370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CELINA G. MANKEY
  • NPI Number: 1447419809
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2084377
LAB Type Physician Office
Facility Name WESTLAKE CONCIERGE MEDICINE
Street 1301 S CAPITAL OF TEXAS HWY C-100
City AUSTIN
State TX
ZIP 78746
Phone 512 387-0370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director CELINA G. MANKEY

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