29D2087546 CLIA NUMBER - SOUTHWEST MEDICAL ASSOCIATES-420 NELLIS

Laboratory Demographics

  • CLIA Code: 29D2087546
  • Facility Name: SOUTHWEST MEDICAL ASSOCIATES-420 NELLIS
  • Facility Address: 420 N NELLIS BLVD STE A 6
    LAS VEGAS, NV
    ZIP 89110
  • Facility Phone: 702 641-3212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN C. RHODES
  • NPI Number: 1538529102
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2087546
LAB Type Physician Office
Facility Name SOUTHWEST MEDICAL ASSOCIATES-420 NELLIS
Street 420 N NELLIS BLVD STE A 6
City LAS VEGAS
State NV
ZIP 89110
Phone 702 641-3212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director JOHN C. RHODES

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