45D2184884 CLIA NUMBER - TEXAS MOVEMENT DISORDER SPECIALISTS

Laboratory Demographics

  • CLIA Code: 45D2184884
  • Facility Name: TEXAS MOVEMENT DISORDER SPECIALISTS
  • Facility Address: 204 S INTERSTATE 35, SUITE 103
    GEORGETOWN, TX
    ZIP 78628
  • Facility Phone: 512 693-4041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. SOILEAU
  • NPI Number: 1902337025
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2184884
LAB Type Physician Office
Facility Name TEXAS MOVEMENT DISORDER SPECIALISTS
Street 204 S INTERSTATE 35, SUITE 103
City GEORGETOWN
State TX
ZIP 78628
Phone 512 693-4041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director MICHAEL J. SOILEAU

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