29D0858320 CLIA NUMBER - RANCHO INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 29D0858320
  • Facility Name: RANCHO INTERNAL MEDICINE
  • Facility Address: 7010 SMOKE RANCH RD STE 120
    LAS VEGAS, NV
    ZIP 89128
  • Facility Phone: 702 477-7044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIT DUA
  • NPI Number: 1609063627
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D0858320
LAB Type Physician Office
Facility Name RANCHO INTERNAL MEDICINE
Street 7010 SMOKE RANCH RD STE 120
City LAS VEGAS
State NV
ZIP 89128
Phone 702 477-7044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ANIT DUA

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