29D2051864 CLIA NUMBER - CENTENNIAL MEDICAL GROUP, LLP- E FLAMINGO

Laboratory Demographics

  • CLIA Code: 29D2051864
  • Facility Name: CENTENNIAL MEDICAL GROUP, LLP- E FLAMINGO
  • Facility Address: 2110 E FLAMINGO RD STE 330
    LAS VEGAS, NV
    ZIP 89119
  • Facility Phone: 702 839-1203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID R. LANZKOWSKY
  • NPI Number: 1730375015
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 29D2051864
LAB Type Physician Office
Facility Name CENTENNIAL MEDICAL GROUP, LLP- E FLAMINGO
Street 2110 E FLAMINGO RD STE 330
City LAS VEGAS
State NV
ZIP 89119
Phone 702 839-1203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director DAVID R. LANZKOWSKY

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