45D2193428 CLIA NUMBER - CONCORD CLINIC

Laboratory Demographics

  • CLIA Code: 45D2193428
  • Facility Name: CONCORD CLINIC
  • Facility Address: 8000 ANDERSON SQ SUITE 113 RM 1A
    AUSTIN, TX
    ZIP 78757
  • Facility Phone: 512 772-6862
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROYA A. AZADI
  • NPI Number: 1023287158
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2193428
LAB Type Physician Office
Facility Name CONCORD CLINIC
Street 8000 ANDERSON SQ SUITE 113 RM 1A
City AUSTIN
State TX
ZIP 78757
Phone 512 772-6862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director ROYA A. AZADI

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