29D0957333 CLIA NUMBER - CHILDRENS UROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 29D0957333
  • Facility Name: CHILDRENS UROLOGY ASSOCIATES
  • Facility Address: 6670 S TENAYA WAY STE 180
    LAS VEGAS, NV
    ZIP 89113
  • Facility Phone: 702 369-4999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE S. GANESAN
  • NPI Number: 1134324668
  • Taxonomy: 2088P0231X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 29D0957333
LAB Type Physician Office
Facility Name CHILDRENS UROLOGY ASSOCIATES
Street 6670 S TENAYA WAY STE 180
City LAS VEGAS
State NV
ZIP 89113
Phone 702 369-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director GEORGE S. GANESAN

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