29D2016703 CLIA NUMBER - SOUTHWEST MED ASSOC-LIFESTYLE CENTER EAST

Laboratory Demographics

  • CLIA Code: 29D2016703
  • Facility Name: SOUTHWEST MED ASSOC-LIFESTYLE CENTER EAST
  • Facility Address: 5820 S EASTERN AVE
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 797-2353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NILESH NIEL GOKAL
  • NPI Number: 1982025797
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2016703
LAB Type Physician Office
Facility Name SOUTHWEST MED ASSOC-LIFESTYLE CENTER EAST
Street 5820 S EASTERN AVE
City LAS VEGAS
State NV
ZIP 89119
Phone 702 797-2353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director NILESH NIEL GOKAL

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