10D2110905 CLIA NUMBER - FANI FOUNDATION ORGANIZATION, INC PLUS MOBILE

Laboratory Demographics

  • CLIA Code: 10D2110905
  • Facility Name: FANI FOUNDATION ORGANIZATION, INC PLUS MOBILE
  • Facility Address: 1555 E FLAMINGO ROAD UNIT 123
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 725 325-0052
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: ESTHER O. OKEKE
  • NPI Number: 1083343768
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 10D2110905
LAB Type Health Main. Organization
Facility Name FANI FOUNDATION ORGANIZATION, INC PLUS MOBILE
Street 1555 E FLAMINGO ROAD UNIT 123
City LAS VEGAS
State NV
ZIP 89119
Phone 725 325-0052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Health Main. Organization
Lab Director ESTHER O. OKEKE

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