29D1092777 CLIA NUMBER - ADELANTE FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 29D1092777
  • Facility Name: ADELANTE FAMILY MEDICAL CLINIC
  • Facility Address: 1640 E CHARLESTON BLVD
    LAS VEGAS, NV
    ZIP 89104
  • Facility Phone: 702 647-2583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN ESPITIA
  • NPI Number: 1598928806
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1092777
LAB Type Physician Office
Facility Name ADELANTE FAMILY MEDICAL CLINIC
Street 1640 E CHARLESTON BLVD
City LAS VEGAS
State NV
ZIP 89104
Phone 702 647-2583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director CARMEN ESPITIA

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