45D2103771 CLIA NUMBER - PREMIER HEALTH MD

Laboratory Demographics

  • CLIA Code: 45D2103771
  • Facility Name: PREMIER HEALTH MD
  • Facility Address: 1785 E WHITESTONE BLVD
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 259-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA B. MILLER
  • NPI Number: 1225483852
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2103771
LAB Type Physician Office
Facility Name PREMIER HEALTH MD
Street 1785 E WHITESTONE BLVD
City CEDAR PARK
State TX
ZIP 78613
Phone 512 259-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director MELISSA B. MILLER

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