29D0538940 CLIA NUMBER - MARSHA E GOODHEAD MD, A PROFESSIONAL CO

Laboratory Demographics

  • CLIA Code: 29D0538940
  • Facility Name: MARSHA E GOODHEAD MD, A PROFESSIONAL CO
  • Facility Address: 3201 S MARYLAND PKWY, SUITE 205
    LAS VEGAS, NV
    ZIP 89109
  • Facility Phone: 702 731-4215
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARSHA GOODHEAD
  • NPI Number: 1437119435
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 29D0538940
LAB Type Physician Office
Facility Name MARSHA E GOODHEAD MD, A PROFESSIONAL CO
Street 3201 S MARYLAND PKWY, SUITE 205
City LAS VEGAS
State NV
ZIP 89109
Phone 702 731-4215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director MARSHA GOODHEAD

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