29D0951769 CLIA NUMBER - INTERMOUNTAIN HEALTH - RAINBOW CLINIC

Laboratory Demographics

  • CLIA Code: 29D0951769
  • Facility Name: INTERMOUNTAIN HEALTH - RAINBOW CLINIC
  • Facility Address: 1000 S RAINBOW BLVD
    LAS VEGAS, NV
    ZIP 89145
  • Facility Phone: 702 255-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL R COY
  • NPI Number: 1407173750
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D0951769
LAB Type Physician Office
Facility Name INTERMOUNTAIN HEALTH - RAINBOW CLINIC
Street 1000 S RAINBOW BLVD
City LAS VEGAS
State NV
ZIP 89145
Phone 702 255-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director MICHAEL R COY

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This page was last updated on: 3/20/2025