29D0995963 CLIA NUMBER - CARELON HEALTH - GREEN VALLEY

Laboratory Demographics

  • CLIA Code: 29D0995963
  • Facility Name: CARELON HEALTH - GREEN VALLEY
  • Facility Address: 100 N GREEN VALLEY PKWY STE 220
    HENDERSON, NV
    ZIP 89074
  • Facility Phone: 702 944-3627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANDHANA WADHWA
  • NPI Number: 1528432507
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D0995963
LAB Type Physician Office
Facility Name CARELON HEALTH - GREEN VALLEY
Street 100 N GREEN VALLEY PKWY STE 220
City HENDERSON
State NV
ZIP 89074
Phone 702 944-3627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director VANDHANA WADHWA

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