29D1014780 CLIA NUMBER - CHILDREN'S URGENT CARE AND PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 29D1014780
  • Facility Name: CHILDREN'S URGENT CARE AND PEDIATRIC CLINIC
  • Facility Address: 1600 W SUNSET RD STE A
    HENDERSON, NV
    ZIP 89014
  • Facility Phone: 702 898-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAGANNATH S. SURPURE
  • NPI Number: 1750422481
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D1014780
LAB Type Physician Office
Facility Name CHILDREN'S URGENT CARE AND PEDIATRIC CLINIC
Street 1600 W SUNSET RD STE A
City HENDERSON
State NV
ZIP 89014
Phone 702 898-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director JAGANNATH S. SURPURE

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