29D1073174 CLIA NUMBER - BRIGHTON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 29D1073174
  • Facility Name: BRIGHTON FAMILY MEDICINE
  • Facility Address: 1720 W HORIZON RIDGE PKWY STE 140
    HENDERSON, NV
    ZIP 89012
  • Facility Phone: 702 566-5445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNGWOOK S. KIM
  • NPI Number: 1134323561
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1073174
LAB Type Physician Office
Facility Name BRIGHTON FAMILY MEDICINE
Street 1720 W HORIZON RIDGE PKWY STE 140
City HENDERSON
State NV
ZIP 89012
Phone 702 566-5445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director SUNGWOOK S. KIM

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