45D2226900 CLIA NUMBER - ST EDWARD'S UNIVERSITY HEALTH AND COUNCILING CENTER WITH AMG

Laboratory Demographics

  • CLIA Code: 45D2226900
  • Facility Name: ST EDWARD'S UNIVERSITY HEALTH AND COUNCILING CENTER WITH AMG
  • Facility Address: 3001 SOUTH CONGRESS, LADY BIRD JOHNSON HALL # 100 (B-LAB)
    AUSTIN, TX
    ZIP 78704
  • Facility Phone: 512 324-4940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GARRET POOL
  • NPI Number: 1174991251
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2226900
LAB Type Physician Office
Facility Name ST EDWARD'S UNIVERSITY HEALTH AND COUNCILING CENTER WITH AMG
Street 3001 SOUTH CONGRESS, LADY BIRD JOHNSON HALL # 100 (B-LAB)
City AUSTIN
State TX
ZIP 78704
Phone 512 324-4940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director DR. GARRET POOL

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