45D2152897 CLIA NUMBER - THRIVE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D2152897
  • Facility Name: THRIVE MEDICAL CLINIC
  • Facility Address: 2217 PARK BEND DR STE 210
    AUSTIN, TX
    ZIP 78758
  • Facility Phone: 512 697-7090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRAD E. VENGHAUS
  • NPI Number: 1821585340
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2152897
LAB Type Physician Office
Facility Name THRIVE MEDICAL CLINIC
Street 2217 PARK BEND DR STE 210
City AUSTIN
State TX
ZIP 78758
Phone 512 697-7090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director BRAD E. VENGHAUS

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