45D2175475 CLIA NUMBER - CODE 1 CONCIERGE CARE

Laboratory Demographics

  • CLIA Code: 45D2175475
  • Facility Name: CODE 1 CONCIERGE CARE
  • Facility Address: 14101 US 290, SUITE 400B
    AUSTIN, TX
    ZIP 78737
  • Facility Phone: 512 894-5050
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER WHITNEY-CASHIO
  • NPI Number: 1326686494
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2175475
LAB Type Physician Office
Facility Name CODE 1 CONCIERGE CARE
Street 14101 US 290, SUITE 400B
City AUSTIN
State TX
ZIP 78737
Phone 512 894-5050
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director PETER WHITNEY-CASHIO

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This page was last updated on: 3/20/2025