29D2046544 CLIA NUMBER - MARK PEREZ MD LLC

Laboratory Demographics

  • CLIA Code: 29D2046544
  • Facility Name: MARK PEREZ MD LLC
  • Facility Address: 4275 BURNHAM ST STE 210
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 384-7669
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. PEREZ
  • NPI Number: 1720152473
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2046544
LAB Type Physician Office
Facility Name MARK PEREZ MD LLC
Street 4275 BURNHAM ST STE 210
City LAS VEGAS
State NV
ZIP 89119
Phone 702 384-7669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director MARK A. PEREZ

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