29D2067280 CLIA NUMBER - ABSOLUTE PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 29D2067280
  • Facility Name: ABSOLUTE PRIMARY CARE CENTER
  • Facility Address: 4218 W CHARLESTON BLVD
    LAS VEGAS, NV
    ZIP 89102
  • Facility Phone: 702 885-7185
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNIE MATHEW
  • NPI Number: 1205265279
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2067280
LAB Type Physician Office
Facility Name ABSOLUTE PRIMARY CARE CENTER
Street 4218 W CHARLESTON BLVD
City LAS VEGAS
State NV
ZIP 89102
Phone 702 885-7185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Physician Office
Lab Director ANNIE MATHEW

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