45D2319438 CLIA NUMBER - TRANQUILICARE, LLC

Laboratory Demographics

  • CLIA Code: 45D2319438
  • Facility Name: TRANQUILICARE, LLC
  • Facility Address: 3000 JOE DIMAGGION BLVD STE 87
    ROUND ROCK, TX
    ZIP 78665
  • Facility Phone: 512 774-4685
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELINDA K. RYAN
  • NPI Number: 1710871272
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2319438
LAB Type Physician Office
Facility Name TRANQUILICARE, LLC
Street 3000 JOE DIMAGGION BLVD STE 87
City ROUND ROCK
State TX
ZIP 78665
Phone 512 774-4685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director MELINDA K. RYAN

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