45D2090379 CLIA NUMBER - FREEDOM EYE CARE

Laboratory Demographics

  • CLIA Code: 45D2090379
  • Facility Name: FREEDOM EYE CARE
  • Facility Address: 4211 S LAMAR BLVD SUITE E3
    AUSTIN, TX
    ZIP 78704
  • Facility Phone: 512 916-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOROUSH AZADI
  • NPI Number: 1265794150
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2090379
LAB Type Physician Office
Facility Name FREEDOM EYE CARE
Street 4211 S LAMAR BLVD SUITE E3
City AUSTIN
State TX
ZIP 78704
Phone 512 916-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director SOROUSH AZADI

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