29D0911011 CLIA NUMBER - DESERT PEDIATRICS-EASTERN

Laboratory Demographics

  • CLIA Code: 29D0911011
  • Facility Name: DESERT PEDIATRICS-EASTERN
  • Facility Address: 2150 S EASTERN AVE
    LAS VEGAS, NV
    ZIP 89104
  • Facility Phone: 702 641-8245
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD F. WEINER MD
  • NPI Number: 1477649515
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D0911011
LAB Type Physician Office
Facility Name DESERT PEDIATRICS-EASTERN
Street 2150 S EASTERN AVE
City LAS VEGAS
State NV
ZIP 89104
Phone 702 641-8245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director RICHARD F. WEINER MD

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