29D1067198 CLIA NUMBER - CHILDREN'S NEPHROLOGY CLINIC

Laboratory Demographics

CLIA Number: 29D1067198

Facility Name: CHILDREN'S NEPHROLOGY CLINIC

Facility Address:
7271 W SAHARA AVE STE 110
LAS VEGAS, NV
ZIP 89117
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Facility Phone Number: 702 639-1700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659541753

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	29D1067198
LAB Type	Physician Office
Facility Name	CHILDREN'S NEPHROLOGY CLINIC
Street	7271 W SAHARA AVE STE 110
City	LAS VEGAS
State	NV
ZIP	89117
Phone	702 639-1700
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024