29D1081648 CLIA NUMBER - FIRSTMED HEALTH AND WELLNESS CENTER

Laboratory Demographics

CLIA Number: 29D1081648

Facility Name: FIRSTMED HEALTH AND WELLNESS CENTER

Facility Address:
3343 S EASTERN AVE
LAS VEGAS, NV
ZIP 89169
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Facility Phone Number: 702 731-0909

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1396054169

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	29D1081648
LAB Type	Federally Qualified Health Center
Facility Name	FIRSTMED HEALTH AND WELLNESS CENTER
Street	3343 S EASTERN AVE
City	LAS VEGAS
State	NV
ZIP	89169
Phone	702 731-0909
CertificateType	4
CertificateEffectiveDate	3/21/2024
CertificateExpirationDate	3/20/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024