29D0963198 CLIA NUMBER - HENDERSON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 29D0963198
  • Facility Name: HENDERSON PEDIATRICS
  • Facility Address: 1490 W SUNSET RD STE 150
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 702 566-0333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCY A. KULIC
  • NPI Number: 1518154491
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D0963198
LAB Type Physician Office
Facility Name HENDERSON PEDIATRICS
Street 1490 W SUNSET RD STE 150
City HENDERSON
State NV
ZIP 89014
Phone 702 566-0333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director MARCY A. KULIC

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