45D2113526 CLIA NUMBER - RESILIENT HEALTH SHARON HAUSMAN-COHNE MD,PA

Laboratory Demographics

CLIA Number: 45D2113526

Facility Name: RESILIENT HEALTH SHARON HAUSMAN-COHNE MD,PA

Facility Address:
3410 FAR WEST BLVD STE 100
AUSTIN, TX
ZIP 78731
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Facility Phone Number: 512 231-1901

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730325846

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2113526
LAB Type	Physician Office
Facility Name	RESILIENT HEALTH SHARON HAUSMAN-COHNE MD,PA
Street	3410 FAR WEST BLVD STE 100
City	AUSTIN
State	TX
ZIP	78731
Phone	512 231-1901
CertificateType	4
CertificateEffectiveDate	5/24/2022
CertificateExpirationDate	5/23/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024