29D0671123 CLIA NUMBER - FAMILY DOCTORS OF BOULDER CITY

Laboratory Demographics

CLIA Number: 29D0671123

Facility Name: FAMILY DOCTORS OF BOULDER CITY

Facility Address:
895 ADAMS BLVD
BOULDER CITY, NV
ZIP 89005
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Facility Phone Number: 702 293-0406

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1497923270

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	29D0671123
LAB Type	Physician Office
Facility Name	FAMILY DOCTORS OF BOULDER CITY
Street	895 ADAMS BLVD
City	BOULDER CITY
State	NV
ZIP	89005
Phone	702 293-0406
CertificateType	1
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Accreditation

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