45D2165528 CLIA NUMBER - LONE STAR CIRCLE OF CARE AT CEDAR PARK

Laboratory Demographics

  • CLIA Code: 45D2165528
  • Facility Name: LONE STAR CIRCLE OF CARE AT CEDAR PARK
  • Facility Address: 1401 MEDICAL PARKWAY, BLDG. B, STE. 311
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 686-0207
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KATHLEEN V. BUTLER
  • NPI Number: 1821526716
  • Taxonomy: 385H00000X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 45D2165528
LAB Type Federally Qualified Health Center
Facility Name LONE STAR CIRCLE OF CARE AT CEDAR PARK
Street 1401 MEDICAL PARKWAY, BLDG. B, STE. 311
City CEDAR PARK
State TX
ZIP 78613
Phone 512 686-0207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Federally Qualified Health Center
Lab Director KATHLEEN V. BUTLER

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