29D0990146 CLIA NUMBER - LISA HAWORTH MD

Laboratory Demographics

  • CLIA Code: 29D0990146
  • Facility Name: LISA HAWORTH MD
  • Facility Address: 2482 W HORIZON RIDGE PKWY STE 110
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 702 719-6003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA HAWORTH
  • NPI Number: 1346225976
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D0990146
LAB Type Physician Office
Facility Name LISA HAWORTH MD
Street 2482 W HORIZON RIDGE PKWY STE 110
City HENDERSON
State NV
ZIP 89052
Phone 702 719-6003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director LISA HAWORTH

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