29D0923134 CLIA NUMBER - UROLOGY SPECIALISTS OF NEVADA

Laboratory Demographics

CLIA Number: 29D0923134

Facility Name: UROLOGY SPECIALISTS OF NEVADA

Facility Address:
2010 GOLDRING AVE STE 200
LAS VEGAS, NV
ZIP 89106
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Facility Phone Number: 702 877-0814

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063458594

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	29D0923134
LAB Type	Physician Office
Facility Name	UROLOGY SPECIALISTS OF NEVADA
Street	2010 GOLDRING AVE STE 200
City	LAS VEGAS
State	NV
ZIP	89106
Phone	702 877-0814
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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