45D2109119 CLIA NUMBER - GEORGETOWN CENTER FOR ADULT MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2109119
  • Facility Name: GEORGETOWN CENTER FOR ADULT MEDICINE
  • Facility Address: 105 WILDWOOD DRIVE SUITE 105
    GEORGETOWN, TX
    ZIP 78633
  • Facility Phone: 512 762-4060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAMMA GEORGE
  • NPI Number: 1851567499
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2109119
LAB Type Physician Office
Facility Name GEORGETOWN CENTER FOR ADULT MEDICINE
Street 105 WILDWOOD DRIVE SUITE 105
City GEORGETOWN
State TX
ZIP 78633
Phone 512 762-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director SARAMMA GEORGE

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