29D2097891 CLIA NUMBER - GOOD CHOICE PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 29D2097891
  • Facility Name: GOOD CHOICE PEDIATRICS INC
  • Facility Address: 3050 E BONANZA RD STE 130
    LAS VEGAS, NV
    ZIP 89101
  • Facility Phone: 702 383-0663
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANSLEM A. OPARAUGO
  • NPI Number: 1386962322
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 29D2097891
LAB Type Physician Office
Facility Name GOOD CHOICE PEDIATRICS INC
Street 3050 E BONANZA RD STE 130
City LAS VEGAS
State NV
ZIP 89101
Phone 702 383-0663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director ANSLEM A. OPARAUGO

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