45D2129201 CLIA NUMBER - WESTLAKE DERMTOLOGY & COSMETIC SURGERY- LAMAR CENTRAL

Laboratory Demographics

  • CLIA Code: 45D2129201
  • Facility Name: WESTLAKE DERMTOLOGY & COSMETIC SURGERY- LAMAR CENTRAL
  • Facility Address: 3800 NORTH LAMAR BLVD, STE 155
    AUSTIN, TX
    ZIP 78756
  • Facility Phone: 512 617-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY A. NIKOLAIDIS
  • NPI Number: 1679511307
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2129201
LAB Type Physician Office
Facility Name WESTLAKE DERMTOLOGY & COSMETIC SURGERY- LAMAR CENTRAL
Street 3800 NORTH LAMAR BLVD, STE 155
City AUSTIN
State TX
ZIP 78756
Phone 512 617-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director GREGORY A. NIKOLAIDIS

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