29D1106339 CLIA NUMBER - PRIMMED

Laboratory Demographics

  • CLIA Code: 29D1106339
  • Facility Name: PRIMMED
  • Facility Address: 5741 S FORT APACHE RD SUITE 120
    LAS VEGAS, NV
    ZIP 89148
  • Facility Phone: 702 798-0111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KAMBIZ YARAEI
  • NPI Number: 1902826464
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 29D1106339
LAB Type Physician Office
Facility Name PRIMMED
Street 5741 S FORT APACHE RD SUITE 120
City LAS VEGAS
State NV
ZIP 89148
Phone 702 798-0111
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 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director KAMBIZ YARAEI

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