45D2091311 CLIA NUMBER - KATRINY IKBAL PLLC DBA DIRECTMED

Laboratory Demographics

  • CLIA Code: 45D2091311
  • Facility Name: KATRINY IKBAL PLLC DBA DIRECTMED
  • Facility Address: 4 LAKEWAY CENTRE CT, SUITE C
    AUSTIN, TX
    ZIP 78734
  • Facility Phone: 512 842-7633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATRINY IKBAL
  • NPI Number: 1205084688
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2091311
LAB Type Physician Office
Facility Name KATRINY IKBAL PLLC DBA DIRECTMED
Street 4 LAKEWAY CENTRE CT, SUITE C
City AUSTIN
State TX
ZIP 78734
Phone 512 842-7633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Physician Office
Lab Director KATRINY IKBAL

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