45D2314005 CLIA NUMBER - FRONTIER DIRECT CARE - LEANDER

Laboratory Demographics

  • CLIA Code: 45D2314005
  • Facility Name: FRONTIER DIRECT CARE - LEANDER
  • Facility Address: 11840 HERO WAY WEST B200
    LEANDER, TX
    ZIP 78641
  • Facility Phone: 737 307-1606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL BEVINS
  • NPI Number: 1811705148
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2314005
LAB Type Physician Office
Facility Name FRONTIER DIRECT CARE - LEANDER
Street 11840 HERO WAY WEST B200
City LEANDER
State TX
ZIP 78641
Phone 737 307-1606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director MICHAEL BEVINS

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