45D2176482 CLIA NUMBER - LISA M JUKES MD PA

Laboratory Demographics

  • CLIA Code: 45D2176482
  • Facility Name: LISA M JUKES MD PA
  • Facility Address: 3944 RR 620 S BLDG 8 STE 208
    BEE CAVE, TX
    ZIP 78738
  • Facility Phone: 512 301-6767
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA M. JUKES
  • NPI Number: 1912913666
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2176482
LAB Type Physician Office
Facility Name LISA M JUKES MD PA
Street 3944 RR 620 S BLDG 8 STE 208
City BEE CAVE
State TX
ZIP 78738
Phone 512 301-6767
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 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director LISA M. JUKES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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