29D0984235 CLIA NUMBER - DESERT INN WOMENS CLINIC

Laboratory Demographics

CLIA Number: 29D0984235

Facility Name: DESERT INN WOMENS CLINIC

Facility Address:
1900 E DESERT INN RD
LAS VEGAS, NV
ZIP 89169
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Facility Phone Number: 702 735-1960

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730484247

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	29D0984235
LAB Type	Physician Office
Facility Name	DESERT INN WOMENS CLINIC
Street	1900 E DESERT INN RD
City	LAS VEGAS
State	NV
ZIP	89169
Phone	702 735-1960
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024