Organization
DEPARTMENT OF STATE HEALTH SERVICES
Active
Other names
Department of State Health Services (DSHS) Central Lab
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE KUBIN (LABORATORY DIRECTOR)
(512) 776-2468
Entity
Organization
Contact information
Practice address
1100 W 49TH ST, AUSTIN, TX 78756-3101
(512) 458-7111
(512) 458-7588
Mailing address
PO BOX 149347, DSHS- CENTRAL LAB/ZZ320/MC 2004, AUSTIN, TX 78714-9347
(512) 458-7111
(512) 458-7588
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254062-01
—
TX
01
—
CL1119
MEDICARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER)
TX
Enumeration date
07/27/2006
Last updated
03/12/2026
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