29D2107241 CLIA NUMBER - NORTHWEST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 29D2107241
  • Facility Name: NORTHWEST PEDIATRICS
  • Facility Address: 3630 N RANCHO DR STE 104
    LAS VEGAS, NV
    ZIP 89130
  • Facility Phone: 702 212-1240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IMELDA P. PIMENTEL
  • NPI Number: 1821368036
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 29D2107241
LAB Type Physician Office
Facility Name NORTHWEST PEDIATRICS
Street 3630 N RANCHO DR STE 104
City LAS VEGAS
State NV
ZIP 89130
Phone 702 212-1240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director IMELDA P. PIMENTEL

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