45D2272278 CLIA NUMBER - AUSTIN ENDOSCOPY CENTER

Laboratory Demographics

CLIA Number: 45D2272278

Facility Name: AUSTIN ENDOSCOPY CENTER

Facility Address:
1361 HERO WAY, SUITE 100
LEANDER, TX
ZIP 78641
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Facility Phone Number: 737 777-6951

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1407591902

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2272278
LAB Type	Ambulatory Surgery Center
Facility Name	AUSTIN ENDOSCOPY CENTER
Street	1361 HERO WAY, SUITE 100
City	LEANDER
State	TX
ZIP	78641
Phone	737 777-6951
CertificateType	4
CertificateEffectiveDate	11/17/2022
CertificateExpirationDate	11/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024