29D2028366 CLIA NUMBER - MICHAEL JACOBS MD

Laboratory Demographics

  • CLIA Code: 29D2028366
  • Facility Name: MICHAEL JACOBS MD
  • Facility Address: 3017 W CHARLESTON STE 60
    LAS VEGAS, NV
    ZIP 89102
  • Facility Phone: 702 778-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL B. JACOBS
  • NPI Number: 1053300913
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2028366
LAB Type Physician Office
Facility Name MICHAEL JACOBS MD
Street 3017 W CHARLESTON STE 60
City LAS VEGAS
State NV
ZIP 89102
Phone 702 778-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director MICHAEL B. JACOBS

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