45D2177616 CLIA NUMBER - WESTLAKE DERMATOLOGY & COSMETIC SURGERY FAR WEST

Laboratory Demographics

  • CLIA Code: 45D2177616
  • Facility Name: WESTLAKE DERMATOLOGY & COSMETIC SURGERY FAR WEST
  • Facility Address: 3637 FAR WEST BLVD SUITE E
    AUSTIN, TX
    ZIP 78731
  • Facility Phone: 512 610-1000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HUBERT CHODKIEWICZ
  • NPI Number: 1679062798
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2177616
LAB Type Physician Office
Facility Name WESTLAKE DERMATOLOGY & COSMETIC SURGERY FAR WEST
Street 3637 FAR WEST BLVD SUITE E
City AUSTIN
State TX
ZIP 78731
Phone 512 610-1000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director HUBERT CHODKIEWICZ

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