29D2071565 CLIA NUMBER - BRIAN A BERLOWITZ MD APC

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Laboratory Demographics

CLIA Number: 29D2071565

Facility Name: BRIAN A BERLOWITZ MD APC

Facility Address:
653 N TOWN CENTER DR STE 315
LAS VEGAS, NV
ZIP 89144
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Facility Phone Number: 702 804-9486

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912195488

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	29D2071565
LAB Type	Physician Office
Facility Name	BRIAN A BERLOWITZ MD APC
Street	653 N TOWN CENTER DR STE 315
City	LAS VEGAS
State	NV
ZIP	89144
Phone	702 804-9486
CertificateType	4
CertificateEffectiveDate	1/14/2024
CertificateExpirationDate	1/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024