45D2216741 CLIA NUMBER - MOUSUMI CHANDA-KIM, M.D. PLLC

Laboratory Demographics

  • CLIA Code: 45D2216741
  • Facility Name: MOUSUMI CHANDA-KIM, M.D. PLLC
  • Facility Address: 2500 W. WILLIAM CANNON DRIVE, SUITE 303
    AUSTIN, TX
    ZIP 78745
  • Facility Phone: 512 444-4001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOUSUMI CHANDA-KIM
  • NPI Number: 1548854268
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2216741
LAB Type Physician Office
Facility Name MOUSUMI CHANDA-KIM, M.D. PLLC
Street 2500 W. WILLIAM CANNON DRIVE, SUITE 303
City AUSTIN
State TX
ZIP 78745
Phone 512 444-4001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director MOUSUMI CHANDA-KIM

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