03D2058719 CLIA NUMBER - HENDERSON SKIN AND CANCER

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Laboratory Demographics

CLIA Number: 03D2058719

Facility Name: HENDERSON SKIN AND CANCER

Facility Address:
2821 W HORIZON RIDGE PKWY STE 211
HENDERSON, NV
ZIP 89052
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Facility Phone Number: 702 570-6604

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1487926069

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	03D2058719
LAB Type	Physician Office
Facility Name	HENDERSON SKIN AND CANCER
Street	2821 W HORIZON RIDGE PKWY STE 211
City	HENDERSON
State	NV
ZIP	89052
Phone	702 570-6604
CertificateType	2
CertificateEffectiveDate	6/20/2022
CertificateExpirationDate	6/19/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024