45D2168067 CLIA NUMBER - OMEGA RECOVERY SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 45D2168067
  • Facility Name: OMEGA RECOVERY SERVICES, LLC
  • Facility Address: 1710 EVERGREEN AVE UNIT B
    AUSTIN, TX
    ZIP 78704
  • Facility Phone: 512 456-9373
  • Facility Type: Other - SA/MH IOP PHP FACILITY
  • Facility Type: Waiver
  • Lab Director: NICHOLAS KARDARAS
  • NPI Number: 1699268466
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2168067
LAB Type Other - SA/MH IOP PHP FACILITY
Facility Name OMEGA RECOVERY SERVICES, LLC
Street 1710 EVERGREEN AVE UNIT B
City AUSTIN
State TX
ZIP 78704
Phone 512 456-9373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Other - SA/MH IOP PHP FACILITY
Lab Director NICHOLAS KARDARAS

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