45D2326220 CLIA NUMBER - RADIANCE DX LABS LLC

Laboratory Demographics

  • CLIA Code: 45D2326220
  • Facility Name: RADIANCE DX LABS LLC
  • Facility Address: 1005 CONGRESS AVE SUITE 925-E66
    AUSTIN, TX
    ZIP 78727
  • Facility Phone: 512 737-0325
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DEVEN JAMES
  • NPI Number: 1730079419
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 45D2326220
LAB Type Independent
Facility Name RADIANCE DX LABS LLC
Street 1005 CONGRESS AVE SUITE 925-E66
City AUSTIN
State TX
ZIP 78727
Phone 512 737-0325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Independent
Lab Director DEVEN JAMES

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