45D2188674 CLIA NUMBER - TOTAL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2188674
  • Facility Name: TOTAL PRIMARY CARE
  • Facility Address: 500 CANYON RIDGE DR #B300
    AUSTIN, TX
    ZIP 78753
  • Facility Phone: 512 200-2369
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MASON JONES
  • NPI Number: 1982031852
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2188674
LAB Type Physician Office
Facility Name TOTAL PRIMARY CARE
Street 500 CANYON RIDGE DR #B300
City AUSTIN
State TX
ZIP 78753
Phone 512 200-2369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director MASON JONES

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