45D2156106 CLIA NUMBER - OBRC OPERATIONS, LLC D/B/A DRIFTWOOD

Laboratory Demographics

  • CLIA Code: 45D2156106
  • Facility Name: OBRC OPERATIONS, LLC D/B/A DRIFTWOOD
  • Facility Address: 201 EAST MONROE STREET
    AUSTIN, TX
    ZIP 78704
  • Facility Phone: 512 842-6767
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: REY M. XIMENES
  • NPI Number: 1124577440
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2156106
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name OBRC OPERATIONS, LLC D/B/A DRIFTWOOD
Street 201 EAST MONROE STREET
City AUSTIN
State TX
ZIP 78704
Phone 512 842-6767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director REY M. XIMENES

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