29D2115274 CLIA NUMBER - APOLLO MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 29D2115274
  • Facility Name: APOLLO MEDICAL GROUP
  • Facility Address: 6330 W FLAMINGO RD STE 102
    LAS VEGAS, NV
    ZIP 89103
  • Facility Phone: 702 444-7744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOMER C. TUAZON
  • NPI Number: 1851766117
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 29D2115274
LAB Type Physician Office
Facility Name APOLLO MEDICAL GROUP
Street 6330 W FLAMINGO RD STE 102
City LAS VEGAS
State NV
ZIP 89103
Phone 702 444-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director HOMER C. TUAZON

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