29D1083829 CLIA NUMBER - EASTERN FAMILY MEDICAL AND DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 29D1083829
  • Facility Name: EASTERN FAMILY MEDICAL AND DENTAL CENTER
  • Facility Address: 2212 S EASTERN AVE
    LAS VEGAS, NV
    ZIP 89104
  • Facility Phone: (702) 735-9334
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DARREN A. RAHAMAN
  • NPI Number: 1780831925
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D1083829
LAB Type Federally Qualified Health Center
Facility Name EASTERN FAMILY MEDICAL AND DENTAL CENTER
Street 2212 S EASTERN AVE
City LAS VEGAS
State NV
ZIP 89104
Phone 7027359334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Federally Qualified Health Center
Lab Director DARREN A. RAHAMAN

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This page was last updated on: 5/18/2026