29D0952436 CLIA NUMBER - LAS VEGAS PAIUTE TRIBE HEALTH AND HUMAN SERVICES

Laboratory Demographics

CLIA Code: 29D0952436
Facility Name: LAS VEGAS PAIUTE TRIBE HEALTH AND HUMAN SERVICES
Facility Address: 1257 PAIUTE CIRCLE
LAS VEGAS, NV
ZIP 89106
Facility Phone: 702 382-0784
Facility Type: Community Clinic
Facility Type: Waiver
Lab Director: RICHARD J. SKELSKEY
NPI Number: 1205986528
Taxonomy: 332800000X - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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CLIA Record

Field Name	Field Value
CLIA Number	29D0952436
LAB Type	Community Clinic
Facility Name	LAS VEGAS PAIUTE TRIBE HEALTH AND HUMAN SERVICES
Street	1257 PAIUTE CIRCLE
City	LAS VEGAS
State	NV
ZIP	89106
Phone	702 382-0784
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/13/2024
Certificate Expiration Date	10/12/2026
Facility Type	Community Clinic
Lab Director	RICHARD J. SKELSKEY

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This page was last updated on: 6/4/2025