45D2213217 CLIA NUMBER - AUSTIN RADIOLOGICAL ASSOCIATION, MANOR

Laboratory Demographics

  • CLIA Code: 45D2213217
  • Facility Name: AUSTIN RADIOLOGICAL ASSOCIATION, MANOR
  • Facility Address: 12700 LEXINGTON STREET
    MANOR, TX
    ZIP 78653
  • Facility Phone: 512 776-1158
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH JOHNSON
  • NPI Number: 1033196464
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2213217
LAB Type Physician Office
Facility Name AUSTIN RADIOLOGICAL ASSOCIATION, MANOR
Street 12700 LEXINGTON STREET
City MANOR
State TX
ZIP 78653
Phone 512 776-1158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director ELIZABETH JOHNSON

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