29D2001335 CLIA NUMBER - CENTENNIAL OB GYN

Laboratory Demographics

  • CLIA Code: 29D2001335
  • Facility Name: CENTENNIAL OB GYN
  • Facility Address: 6850 N DURANGO DR STE 420
    LAS VEGAS, NV
    ZIP 89149
  • Facility Phone: 702 476-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS J. LOPEZ-BENITEZ
  • NPI Number: 1649411885
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 29D2001335
LAB Type Physician Office
Facility Name CENTENNIAL OB GYN
Street 6850 N DURANGO DR STE 420
City LAS VEGAS
State NV
ZIP 89149
Phone 702 476-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director LUIS J. LOPEZ-BENITEZ

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