29D1023210 CLIA NUMBER - CIVIC CENTER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 29D1023210
  • Facility Name: CIVIC CENTER PEDIATRICS
  • Facility Address: 2225 CIVIC CENTER DR STE 280
    N LAS VEGAS, NV
    ZIP 89030
  • Facility Phone: 702 633-7970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUCHIKA N. RANASINGHE
  • NPI Number: 1275716086
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D1023210
LAB Type Physician Office
Facility Name CIVIC CENTER PEDIATRICS
Street 2225 CIVIC CENTER DR STE 280
City N LAS VEGAS
State NV
ZIP 89030
Phone 702 633-7970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director RUCHIKA N. RANASINGHE

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