45D2280034 CLIA NUMBER - POSITIVE RECOVERY ROUND ROCK

Laboratory Demographics

  • CLIA Code: 45D2280034
  • Facility Name: POSITIVE RECOVERY ROUND ROCK
  • Facility Address: 1930 RAWHIDE DR SUITE 306
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: 877 697-1383
  • Facility Type: Other - CHEMICAL DEPENDENCY TREAT
  • Facility Type: Waiver
  • Lab Director: JULIE DENOFA
  • NPI Number: 1962811703
  • Taxonomy: 374J00000X - Doula

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CLIA Record

Field Name Field Value
CLIA Number 45D2280034
LAB Type Other - CHEMICAL DEPENDENCY TREAT
Facility Name POSITIVE RECOVERY ROUND ROCK
Street 1930 RAWHIDE DR SUITE 306
City ROUND ROCK
State TX
ZIP 78681
Phone 877 697-1383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Other - CHEMICAL DEPENDENCY TREAT
Lab Director JULIE DENOFA

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