29D1071251 CLIA NUMBER - GANLIM MEDICAL WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 29D1071251
  • Facility Name: GANLIM MEDICAL WELLNESS CLINIC
  • Facility Address: 653 TOWN CENTER DR STE 101
    LAS VEGAS, NV
    ZIP 89144
  • Facility Phone: 702 485-2791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONARDO A. GAN LIM
  • NPI Number: 1790758886
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1071251
LAB Type Physician Office
Facility Name GANLIM MEDICAL WELLNESS CLINIC
Street 653 TOWN CENTER DR STE 101
City LAS VEGAS
State NV
ZIP 89144
Phone 702 485-2791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2023
Certificate Expiration Date 7/19/2025
Facility Type Physician Office
Lab Director LEONARDO A. GAN LIM

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