29D2045254 CLIA NUMBER - WESTSIDE CARDIOLOGY

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Laboratory Demographics

CLIA Number: 29D2045254

Facility Name: WESTSIDE CARDIOLOGY

Facility Address:
2800 N TENAYA WAY STE 202
LAS VEGAS, NV
ZIP 89128
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Facility Phone Number: 702 255-8877

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255529590

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	29D2045254
LAB Type	Physician Office
Facility Name	WESTSIDE CARDIOLOGY
Street	2800 N TENAYA WAY STE 202
City	LAS VEGAS
State	NV
ZIP	89128
Phone	702 255-8877
CertificateType	4
CertificateEffectiveDate	8/9/2022
CertificateExpirationDate	8/8/2024
FacilityType	Waiver

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