29D1028140 CLIA NUMBER - ANTHEM OB/GYN SOPHY W FENG MD

Laboratory Demographics

  • CLIA Code: 29D1028140
  • Facility Name: ANTHEM OB/GYN SOPHY W FENG MD
  • Facility Address: 2405 HORIZON RIDGE PKWY STE 110
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 702 433-5357
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOPHY W. FENG MD
  • NPI Number: 1245400472
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 29D1028140
LAB Type Physician Office
Facility Name ANTHEM OB/GYN SOPHY W FENG MD
Street 2405 HORIZON RIDGE PKWY STE 110
City HENDERSON
State NV
ZIP 89052
Phone 702 433-5357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director SOPHY W. FENG MD

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