45D2168390 CLIA NUMBER - CENIKOR FOUNDATION-AUSTIN

Laboratory Demographics

  • CLIA Code: 45D2168390
  • Facility Name: CENIKOR FOUNDATION-AUSTIN
  • Facility Address: 2410 WEST HOWARD LN
    AUSTIN, TX
    ZIP 78728
  • Facility Phone: 713 266-9944
  • Facility Type: Other - SUBSTANCE TREATMENT CNTR
  • Facility Type: Waiver
  • Lab Director: RAUL GARCIA
  • NPI Number: 1124412218
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2168390
LAB Type Other - SUBSTANCE TREATMENT CNTR
Facility Name CENIKOR FOUNDATION-AUSTIN
Street 2410 WEST HOWARD LN
City AUSTIN
State TX
ZIP 78728
Phone 713 266-9944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Other - SUBSTANCE TREATMENT CNTR
Lab Director RAUL GARCIA

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