29D1046946 CLIA NUMBER - FAMILY DOCTORS OF GREEN VALLEY

Laboratory Demographics

  • CLIA Code: 29D1046946
  • Facility Name: FAMILY DOCTORS OF GREEN VALLEY
  • Facility Address: 291 N PECOS RD
    HENDERSON, NV
    ZIP 89074
  • Facility Phone: 702 616-9471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVI S. RAMANATHAN
  • NPI Number: 1437258274
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1046946
LAB Type Physician Office
Facility Name FAMILY DOCTORS OF GREEN VALLEY
Street 291 N PECOS RD
City HENDERSON
State NV
ZIP 89074
Phone 702 616-9471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director RAVI S. RAMANATHAN

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This page was last updated on: 6/4/2025