29D2005509 CLIA NUMBER - VOLUNTEERS IN MEDICINE OF S NV-HARRISON

Laboratory Demographics

  • CLIA Code: 29D2005509
  • Facility Name: VOLUNTEERS IN MEDICINE OF S NV-HARRISON
  • Facility Address: 4770 HARRISON DR STE 200
    LAS VEGAS, NV
    ZIP 89121
  • Facility Phone: 702 967-0530
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL O HANLAN
  • NPI Number: 1629361001
  • Taxonomy: 174H00000X - Health Educator

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CLIA Record

Field Name Field Value
CLIA Number 29D2005509
LAB Type Community Clinic
Facility Name VOLUNTEERS IN MEDICINE OF S NV-HARRISON
Street 4770 HARRISON DR STE 200
City LAS VEGAS
State NV
ZIP 89121
Phone 702 967-0530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Community Clinic
Lab Director MICHAEL O HANLAN

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