29D1092712 CLIA NUMBER - RED ROCK RADIOLOGY-A DEPT OF MTN VIEW HOSP LAB

Laboratory Demographics

  • CLIA Code: 29D1092712
  • Facility Name: RED ROCK RADIOLOGY-A DEPT OF MTN VIEW HOSP LAB
  • Facility Address: 7130 SMOKE RANCH RD
    LAS VEGAS, NV
    ZIP 89128
  • Facility Phone: 702 962-7361
  • Facility Type: Other - MEDICAL IMAGING DEPT
  • Facility Type: Waiver
  • Lab Director: KEVIN L. GOLDEN
  • NPI Number: 1306954904
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D1092712
LAB Type Other - MEDICAL IMAGING DEPT
Facility Name RED ROCK RADIOLOGY-A DEPT OF MTN VIEW HOSP LAB
Street 7130 SMOKE RANCH RD
City LAS VEGAS
State NV
ZIP 89128
Phone 702 962-7361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Other - MEDICAL IMAGING DEPT
Lab Director KEVIN L. GOLDEN

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