45D2174527 CLIA NUMBER - AUSTIN ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D2174527
  • Facility Name: AUSTIN ENDOSCOPY CENTER
  • Facility Address: 3944 RANCH ROAD 620 SOUTH, BLDG 8, SUITE 103
    BEE CAVE, TX
    ZIP 78738
  • Facility Phone: 512 371-1519
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANA D. DESAPIO
  • NPI Number: 1235797630
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2174527
LAB Type Ambulatory Surgery Center
Facility Name AUSTIN ENDOSCOPY CENTER
Street 3944 RANCH ROAD 620 SOUTH, BLDG 8, SUITE 103
City BEE CAVE
State TX
ZIP 78738
Phone 512 371-1519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Ambulatory Surgery Center
Lab Director DANA D. DESAPIO

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