45D2156660 CLIA NUMBER - ALPHA 180, LLC

Laboratory Demographics

  • CLIA Code: 45D2156660
  • Facility Name: ALPHA 180, LLC
  • Facility Address: 1904 NUECES STREET
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 833 257-4218
  • Facility Type: Other - OUTPATIENT SUBSTANCE
  • Facility Type: Waiver
  • Lab Director: ELIZABETH B. ROLFE
  • NPI Number: 1639670169
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D2156660
LAB Type Other - OUTPATIENT SUBSTANCE
Facility Name ALPHA 180, LLC
Street 1904 NUECES STREET
City AUSTIN
State TX
ZIP 78705
Phone 833 257-4218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Other - OUTPATIENT SUBSTANCE
Lab Director ELIZABETH B. ROLFE

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