29D1053642 CLIA NUMBER - DAULAT MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 29D1053642
  • Facility Name: DAULAT MEDICAL CENTER
  • Facility Address: 3416 N BUFFALO DR
    LAS VEGAS, NV
    ZIP 89129
  • Facility Phone: 702 565-4917
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAUTAM DAULAT DO
  • NPI Number: 1699146373
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1053642
LAB Type Physician Office
Facility Name DAULAT MEDICAL CENTER
Street 3416 N BUFFALO DR
City LAS VEGAS
State NV
ZIP 89129
Phone 702 565-4917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director GAUTAM DAULAT DO

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