45D2321621 CLIA NUMBER - AEG TEXAS PROFESSIONAL PLLC DBA EYE COUNTRY

Laboratory Demographics

  • CLIA Code: 45D2321621
  • Facility Name: AEG TEXAS PROFESSIONAL PLLC DBA EYE COUNTRY
  • Facility Address: 1102 N LLANO STREET SUITE A
    FREDERICKSBURG, TX
    ZIP 78624
  • Facility Phone: 830 997-0131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANS OOSTERBAAN
  • NPI Number: 1821894163
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2321621
LAB Type Physician Office
Facility Name AEG TEXAS PROFESSIONAL PLLC DBA EYE COUNTRY
Street 1102 N LLANO STREET SUITE A
City FREDERICKSBURG
State TX
ZIP 78624
Phone 830 997-0131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director HANS OOSTERBAAN

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