45D2223353 CLIA NUMBER - TEXAS PAIN CENTER ASC

Laboratory Demographics

  • CLIA Code: 45D2223353
  • Facility Name: TEXAS PAIN CENTER ASC
  • Facility Address: 9010 BRODIE LANE, SUITE D200
    AUSTIN, TX
    ZIP 78748
  • Facility Phone: 512 380-4148
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GEREMY SANDERS
  • NPI Number: 1609452978
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2223353
LAB Type Ambulatory Surgery Center
Facility Name TEXAS PAIN CENTER ASC
Street 9010 BRODIE LANE, SUITE D200
City AUSTIN
State TX
ZIP 78748
Phone 512 380-4148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Ambulatory Surgery Center
Lab Director GEREMY SANDERS

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