29D1073806 CLIA NUMBER - SOUTHERN NEVADA INTERNISTS

Laboratory Demographics

  • CLIA Code: 29D1073806
  • Facility Name: SOUTHERN NEVADA INTERNISTS
  • Facility Address: 4409 S PECOS RD
    LAS VEGAS, NV
    ZIP 89121
  • Facility Phone: 702 434-6336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN E. LEE
  • NPI Number: 1982818076
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1073806
LAB Type Physician Office
Facility Name SOUTHERN NEVADA INTERNISTS
Street 4409 S PECOS RD
City LAS VEGAS
State NV
ZIP 89121
Phone 702 434-6336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director BRIAN E. LEE

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