29D0990995 CLIA NUMBER - SPRING VALLEY FAMILY CARE

Laboratory Demographics

  • CLIA Code: 29D0990995
  • Facility Name: SPRING VALLEY FAMILY CARE
  • Facility Address: 4974 S RAINBOW BLVD STE 120
    LAS VEGAS, NV
    ZIP 89118
  • Facility Phone: 702 367-0323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN M. JIMENEZ MD
  • NPI Number: 1235224361
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 29D0990995
LAB Type Physician Office
Facility Name SPRING VALLEY FAMILY CARE
Street 4974 S RAINBOW BLVD STE 120
City LAS VEGAS
State NV
ZIP 89118
Phone 702 367-0323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director STEVEN M. JIMENEZ MD

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