45D2198345 CLIA NUMBER - FALCONHEAD SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 45D2198345
  • Facility Name: FALCONHEAD SURGERY CENTER LLC
  • Facility Address: 14425 FALCON HEAD BLVD BUILDING F SUITE 111
    AUSTIN, TX
    ZIP 78738
  • Facility Phone: 512 900-1006
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GINA R. COTTLE
  • NPI Number: 1700400850
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2198345
LAB Type Ambulatory Surgery Center
Facility Name FALCONHEAD SURGERY CENTER LLC
Street 14425 FALCON HEAD BLVD BUILDING F SUITE 111
City AUSTIN
State TX
ZIP 78738
Phone 512 900-1006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Ambulatory Surgery Center
Lab Director GINA R. COTTLE

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