29D0978929 CLIA NUMBER - ANTHEM HILLS PEDIATICS-CORONADO

Laboratory Demographics

  • CLIA Code: 29D0978929
  • Facility Name: ANTHEM HILLS PEDIATICS-CORONADO
  • Facility Address: 871 CORONADO CENTER DR STE 141
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: (702) 566-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM M. LAMOTTE-MALONE
  • NPI Number: 1982797601
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D0978929
LAB Type Physician Office
Facility Name ANTHEM HILLS PEDIATICS-CORONADO
Street 871 CORONADO CENTER DR STE 141
City HENDERSON
State NV
ZIP 89052
Phone 7025662400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director KIM M. LAMOTTE-MALONE

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