29D0990146 CLIA NUMBER - LISA HAWORTH MD

Laboratory Demographics

CLIA Number: 29D0990146

Facility Name: LISA HAWORTH MD

Facility Address:
2482 W HORIZON RIDGE PKWY STE 110
HENDERSON, NV
ZIP 89052
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Facility Phone Number: 702 719-6003

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346225976

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	8/15/2023
CertificateExpirationDate	8/14/2025
FacilityType	Waiver

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