29D1072344 CLIA NUMBER - DESERT PREVENTATIVE & DIAGNOSTIC MEDICINE

Laboratory Demographics

  • CLIA Code: 29D1072344
  • Facility Name: DESERT PREVENTATIVE & DIAGNOSTIC MEDICINE
  • Facility Address: 10001 S EASTERN AVE STE 402
    HENDERSON, NV
    ZIP 89052
  • Facility Phone: 702 617-8684
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN P. WINKLER
  • NPI Number: 1053476010
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1072344
LAB Type Physician Office
Facility Name DESERT PREVENTATIVE & DIAGNOSTIC MEDICINE
Street 10001 S EASTERN AVE STE 402
City HENDERSON
State NV
ZIP 89052
Phone 702 617-8684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2023
Certificate Expiration Date 8/13/2025
Facility Type Physician Office
Lab Director STEVEN P. WINKLER

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