29D0997098 CLIA NUMBER - LAS VEGAS SKIN & CANCER CLINICS-STEPHANIE

Laboratory Demographics

CLIA Number: 29D0997098

Facility Name: LAS VEGAS SKIN & CANCER CLINICS-STEPHANIE

Facility Address:
400 N STEPHANIE ST STE 400
HENDERSON, NV
ZIP 89014
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Facility Phone Number: 702 990-4800

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1083003891

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	29D0997098
LAB Type	Physician Office
Facility Name	LAS VEGAS SKIN & CANCER CLINICS-STEPHANIE
Street	400 N STEPHANIE ST STE 400
City	HENDERSON
State	NV
ZIP	89014
Phone	702 990-4800
CertificateType	2
CertificateEffectiveDate	10/7/2022
CertificateExpirationDate	10/6/2024
FacilityType	Compliance

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