29D2058449 CLIA NUMBER - JORGE Y BURGOS MD PC

Laboratory Demographics

  • CLIA Code: 29D2058449
  • Facility Name: JORGE Y BURGOS MD PC
  • Facility Address: 750 N EASTERN AVE STE 100
    LAS VEGAS, NV
    ZIP 89101
  • Facility Phone: 702 227-0022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE Y. BURGOS
  • NPI Number: 1639275969
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2058449
LAB Type Physician Office
Facility Name JORGE Y BURGOS MD PC
Street 750 N EASTERN AVE STE 100
City LAS VEGAS
State NV
ZIP 89101
Phone 702 227-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Physician Office
Lab Director JORGE Y. BURGOS

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