29D2057303 CLIA NUMBER - FIRST PERSON CARE CLINIC- S 4TH ST

Laboratory Demographics

  • CLIA Code: 29D2057303
  • Facility Name: FIRST PERSON CARE CLINIC- S 4TH ST
  • Facility Address: 1200 S 4TH ST STE 111
    LAS VEGAS, NV
    ZIP 89104
  • Facility Phone: 702 380-8118
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: AMISH PUROHIT
  • NPI Number: 1407219611
  • Taxonomy: 363LC1500X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2057303
LAB Type Federally Qualified Health Center
Facility Name FIRST PERSON CARE CLINIC- S 4TH ST
Street 1200 S 4TH ST STE 111
City LAS VEGAS
State NV
ZIP 89104
Phone 702 380-8118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Federally Qualified Health Center
Lab Director AMISH PUROHIT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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