45D2266786 CLIA NUMBER - DELL CHILDREN'S MEDICAL GROUP DAVIS LANE

Laboratory Demographics

  • CLIA Code: 45D2266786
  • Facility Name: DELL CHILDREN'S MEDICAL GROUP DAVIS LANE
  • Facility Address: 5301-B DAVIS LANE
    AUSTIN, TX
    ZIP 78749
  • Facility Phone: (512) 628-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACKEE D. KAYSER
  • NPI Number: 1124748249
  • Taxonomy: 261QS1200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2266786
LAB Type Physician Office
Facility Name DELL CHILDREN'S MEDICAL GROUP DAVIS LANE
Street 5301-B DAVIS LANE
City AUSTIN
State TX
ZIP 78749
Phone 5126281800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director JACKEE D. KAYSER

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: 6/29/2026