29D0887993 CLIA NUMBER - LAS VEGAS UROLOGY-SMOKE RANCH

Laboratory Demographics

  • CLIA Code: 29D0887993
  • Facility Name: LAS VEGAS UROLOGY-SMOKE RANCH
  • Facility Address: 7500 SMOKE RANCH ROAD SUIT 200
    LAS VEGAS, NV
    ZIP 89128
  • Facility Phone: 702 308-9202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR E GRIGORIEV
  • NPI Number: 1063534923
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 29D0887993
LAB Type Physician Office
Facility Name LAS VEGAS UROLOGY-SMOKE RANCH
Street 7500 SMOKE RANCH ROAD SUIT 200
City LAS VEGAS
State NV
ZIP 89128
Phone 702 308-9202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director VICTOR E GRIGORIEV

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