45D2270850 CLIA NUMBER - UROLOGY AUSTIN

Laboratory Demographics

  • CLIA Code: 45D2270850
  • Facility Name: UROLOGY AUSTIN
  • Facility Address: 6811 AUSTIN CENTER BLVD
    AUSTIN, TX
    ZIP 78731
  • Facility Phone: 512 687-1961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID CUELLAR
  • NPI Number: 1093837312
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D2270850
LAB Type Physician Office
Facility Name UROLOGY AUSTIN
Street 6811 AUSTIN CENTER BLVD
City AUSTIN
State TX
ZIP 78731
Phone 512 687-1961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director DAVID CUELLAR

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