45D2276049 CLIA NUMBER - TOTAL MD PHYSICIAN GROUP PLLC

Laboratory Demographics

  • CLIA Code: 45D2276049
  • Facility Name: TOTAL MD PHYSICIAN GROUP PLLC
  • Facility Address: 180 E WHITESTONE #162
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 222-9539
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDWIN WOO, DO
  • NPI Number: 1679730402
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2276049
LAB Type Physician Office
Facility Name TOTAL MD PHYSICIAN GROUP PLLC
Street 180 E WHITESTONE #162
City CEDAR PARK
State TX
ZIP 78613
Phone 512 222-9539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director DR. EDWIN WOO, DO

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This page was last updated on: 6/4/2025