29D2016305 CLIA NUMBER - NKDHC PLLC-NORTHWEST

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Laboratory Demographics

CLIA Number: 29D2016305

Facility Name: NKDHC PLLC-NORTHWEST

Facility Address:
2450 FIRE MESA ST STE 110
LAS VEGAS, NV
ZIP 89128
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Facility Phone Number: 702 853-0090

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265831432

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	29D2016305
LAB Type	Physician Office
Facility Name	NKDHC PLLC-NORTHWEST
Street	2450 FIRE MESA ST STE 110
City	LAS VEGAS
State	NV
ZIP	89128
Phone	702 853-0090
CertificateType	4
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024