29D1096978 CLIA NUMBER - LAS VEGAS DERMATOLOGY AND SKIN CANCER

Laboratory Demographics

  • CLIA Code: 29D1096978
  • Facility Name: LAS VEGAS DERMATOLOGY AND SKIN CANCER
  • Facility Address: 5731 S FORT APACHE ROAD, STE 130
    LAS VEGAS, NV
    ZIP 89148
  • Facility Phone: 702 272-1600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DANIEL P. TAHERI
  • NPI Number: 1508210972
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 29D1096978
LAB Type Physician Office
Facility Name LAS VEGAS DERMATOLOGY AND SKIN CANCER
Street 5731 S FORT APACHE ROAD, STE 130
City LAS VEGAS
State NV
ZIP 89148
Phone 702 272-1600
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director DANIEL P. TAHERI

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