29D2085579 CLIA NUMBER - MESQUITE CLINIC MANAGEMENT COMPANY, LLC

Laboratory Demographics

  • CLIA Code: 29D2085579
  • Facility Name: MESQUITE CLINIC MANAGEMENT COMPANY, LLC
  • Facility Address: 450 HILLSIDE DR BLDG B STE 104
    MESQUITE, NV
    ZIP 89027
  • Facility Phone: 702 345-4396
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH J. JEPPSON
  • NPI Number: 1467787192
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 29D2085579
LAB Type Physician Office
Facility Name MESQUITE CLINIC MANAGEMENT COMPANY, LLC
Street 450 HILLSIDE DR BLDG B STE 104
City MESQUITE
State NV
ZIP 89027
Phone 702 345-4396
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director JOSEPH J. JEPPSON

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