29D1077960 CLIA NUMBER - CHILDREN'S URGENT CARE

Laboratory Demographics

  • CLIA Code: 29D1077960
  • Facility Name: CHILDREN'S URGENT CARE
  • Facility Address: 3424 N BUFFALO RD STE 100
    LAS VEGAS, NV
    ZIP 89129
  • Facility Phone: 702 233-0174
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAGANNATH S. SURPURE MD
  • NPI Number: 1316212772
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 29D1077960
LAB Type Physician Office
Facility Name CHILDREN'S URGENT CARE
Street 3424 N BUFFALO RD STE 100
City LAS VEGAS
State NV
ZIP 89129
Phone 702 233-0174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director JAGANNATH S. SURPURE MD

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