29D1100670 CLIA NUMBER - LAS VEGAS SPINE AND PAIN CENTER-BUFFALO

Laboratory Demographics

  • CLIA Code: 29D1100670
  • Facility Name: LAS VEGAS SPINE AND PAIN CENTER-BUFFALO
  • Facility Address: 3270 N BUFFALO DR
    LAS VEGAS, NV
    ZIP 89129
  • Facility Phone: 702 676-2000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: QIYUAN PENG
  • NPI Number: 1588943948
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 29D1100670
LAB Type Physician Office
Facility Name LAS VEGAS SPINE AND PAIN CENTER-BUFFALO
Street 3270 N BUFFALO DR
City LAS VEGAS
State NV
ZIP 89129
Phone 702 676-2000
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 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director QIYUAN PENG

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This page was last updated on: 3/20/2025