45D2273059 CLIA NUMBER - AUSTWELL-TIVOLI ISD

Laboratory Demographics

  • CLIA Code: 45D2273059
  • Facility Name: AUSTWELL-TIVOLI ISD
  • Facility Address: 207 REDFISH ST
    TIVOLI, TX
    ZIP 77990
  • Facility Phone: 281 203-5006
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DONNA VASQUEZ
  • NPI Number: 1366563645
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2273059
LAB Type School/Student Health Service
Facility Name AUSTWELL-TIVOLI ISD
Street 207 REDFISH ST
City TIVOLI
State TX
ZIP 77990
Phone 281 203-5006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type School/Student Health Service
Lab Director DONNA VASQUEZ

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: 9/29/2025