45D2176134 CLIA NUMBER - AUSTIN HEART- CENTRAL PARK

Laboratory Demographics

  • CLIA Code: 45D2176134
  • Facility Name: AUSTIN HEART- CENTRAL PARK
  • Facility Address: 900 W 38TH ST SUITE 400
    AUSTIN, TX
    ZIP 78705
  • Facility Phone: 512 206-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL PAGLEY
  • NPI Number: 1992780902
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2176134
LAB Type Physician Office
Facility Name AUSTIN HEART- CENTRAL PARK
Street 900 W 38TH ST SUITE 400
City AUSTIN
State TX
ZIP 78705
Phone 512 206-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director PAUL PAGLEY

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