29D2066059 CLIA NUMBER - SOUTHERN NEVADA FOOT & ANKLE

Laboratory Demographics

  • CLIA Code: 29D2066059
  • Facility Name: SOUTHERN NEVADA FOOT & ANKLE
  • Facility Address: 3000 W CHARLESTON BLVD STE 6
    LAS VEGAS, NV
    ZIP 89102
  • Facility Phone: 702 878-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADA I. VERA
  • NPI Number: 1093230138
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D2066059
LAB Type Physician Office
Facility Name SOUTHERN NEVADA FOOT & ANKLE
Street 3000 W CHARLESTON BLVD STE 6
City LAS VEGAS
State NV
ZIP 89102
Phone 702 878-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2023
Certificate Expiration Date 9/18/2025
Facility Type Physician Office
Lab Director ADA I. VERA

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This page was last updated on: 3/20/2025