45D2122007 CLIA NUMBER - AEG TEXAS PROFESSIONAL PLLC D/B/A EYECARE SPECIALTIES-SOUTH TOWNE

Laboratory Demographics

  • CLIA Code: 45D2122007
  • Facility Name: AEG TEXAS PROFESSIONAL PLLC D/B/A EYECARE SPECIALTIES-SOUTH TOWNE
  • Facility Address: 5353 W HWY 290, SUITE 102
    AUSTIN, TX
    ZIP 78735
  • Facility Phone: 512 899-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANISH PATEL
  • NPI Number: 1740406057
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2122007
LAB Type Physician Office
Facility Name AEG TEXAS PROFESSIONAL PLLC D/B/A EYECARE SPECIALTIES-SOUTH TOWNE
Street 5353 W HWY 290, SUITE 102
City AUSTIN
State TX
ZIP 78735
Phone 512 899-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director MANISH PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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