45D2283980 CLIA NUMBER - AUSTIN DERMATOLOGIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2283980
  • Facility Name: AUSTIN DERMATOLOGIC SURGERY CENTER
  • Facility Address: 1101 WOLF LAKES DRIVE, SUITE 225
    GEORGETOWN, TX
    ZIP 78628
  • Facility Phone: 512 324-9699
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: S TYLER HOLLMIG
  • NPI Number: 1558606533
  • Taxonomy: 207ZD0900X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D2283980
LAB Type Physician Office
Facility Name AUSTIN DERMATOLOGIC SURGERY CENTER
Street 1101 WOLF LAKES DRIVE, SUITE 225
City GEORGETOWN
State TX
ZIP 78628
Phone 512 324-9699
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director S TYLER HOLLMIG

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