29D0969874 CLIA NUMBER - LA CANADA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 29D0969874
  • Facility Name: LA CANADA PEDIATRICS
  • Facility Address: 3196 S MARYLAND PKWY STE 208
    LAS VEGAS, NV
    ZIP 89109
  • Facility Phone: (702) 796-1820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN HIRATA
  • NPI Number: 1124240817
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D0969874
LAB Type Physician Office
Facility Name LA CANADA PEDIATRICS
Street 3196 S MARYLAND PKWY STE 208
City LAS VEGAS
State NV
ZIP 89109
Phone 7027961820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2026
Certificate Expiration Date 1/27/2028
Facility Type Physician Office
Lab Director SUSAN HIRATA

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This page was last updated on: 5/18/2026