29D2023821 CLIA NUMBER - SUNRISE PEDIATRICS-RAINBOW

Laboratory Demographics

  • CLIA Code: 29D2023821
  • Facility Name: SUNRISE PEDIATRICS-RAINBOW
  • Facility Address: 7875 S RAINBOW BLVD STE 102
    LAS VEGAS, NV
    ZIP 89139
  • Facility Phone: 702 254-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAY W. KANDOTH
  • NPI Number: 1255622577
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D2023821
LAB Type Physician Office
Facility Name SUNRISE PEDIATRICS-RAINBOW
Street 7875 S RAINBOW BLVD STE 102
City LAS VEGAS
State NV
ZIP 89139
Phone 702 254-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director SANJAY W. KANDOTH

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