45D2264052 CLIA NUMBER - EMERGE RECOVERY TX

Laboratory Demographics

  • CLIA Code: 45D2264052
  • Facility Name: EMERGE RECOVERY TX
  • Facility Address: 7756 NORTHCROSS DRIVE, SUITE 203
    AUSTIN, TX
    ZIP 78757
  • Facility Phone: 512 764-0695
  • Facility Type: Other - OUTPATIENT SUB ABUSE FACI
  • Facility Type: Waiver
  • Lab Director: LAUREL TRACY
  • NPI Number: 1477220085
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2264052
LAB Type Other - OUTPATIENT SUB ABUSE FACI
Facility Name EMERGE RECOVERY TX
Street 7756 NORTHCROSS DRIVE, SUITE 203
City AUSTIN
State TX
ZIP 78757
Phone 512 764-0695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other - OUTPATIENT SUB ABUSE FACI
Lab Director LAUREL TRACY

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