45D2291595 CLIA NUMBER - GEORGETOWN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2291595
  • Facility Name: GEORGETOWN SURGERY CENTER
  • Facility Address: 1101 WOLF LAKE DRIVE, STE 150
    GEORGETOWN, TX
    ZIP 78628
  • Facility Phone: 737 825-2330
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT J. JUST
  • NPI Number: 1538116173
  • Taxonomy: 2471C3402X - Radiologic Technologist

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CLIA Record

Field Name Field Value
CLIA Number 45D2291595
LAB Type Ambulatory Surgery Center
Facility Name GEORGETOWN SURGERY CENTER
Street 1101 WOLF LAKE DRIVE, STE 150
City GEORGETOWN
State TX
ZIP 78628
Phone 737 825-2330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERT J. JUST

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