29D1077464 CLIA NUMBER - DESERT VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 29D1077464
  • Facility Name: DESERT VALLEY PEDIATRICS
  • Facility Address: 6850 N DURANGO DR STE 406
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 702 260-4525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE L. PEREZ-TSELIKIS
  • NPI Number: 1649360967
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D1077464
LAB Type Physician Office
Facility Name DESERT VALLEY PEDIATRICS
Street 6850 N DURANGO DR STE 406
City LAS VEGAS
State NV
ZIP 89149
Phone 702 260-4525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director JACQUELINE L. PEREZ-TSELIKIS

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